Pseudo-coarctation Following TEVAR in a Young Triathlete

Thoracic endovascular aortic repair (TEVAR) has become the main treatment of traumatic aortic isthmic rupture. The long-term complications of TEVAR may be more important in a young patient population. A 33-year-old triathlete who had undergone successful TEVAR for aortic isthmus rupture, was diagnosed with resistant hypertension 6 years later. CT angiography showed stent dislocation mimicking a coarctation. He underwent successful surgical repair. Device collapse is a phenomenon observed after TEVAR for blunt thoracic aorta injury. Current testing of endografts are insufficient for the long lifespan of survivors of traumatic isthmic rupture. This case illustrates this complication.