Over the last years, aortic stenting is becoming more popular for the treatment of native or recurrent aortic coarctation (COA) in older children and adults as an alternative to surgical treatment [
1]. Although the blood pressure gradient decreases and vessel diameter increases, hypertension might persist and serious complications can occur [
2]. Migration of an aortic stent for recurrent or native COA is not uncommon. In a large multi-institutional study including 565 procedures for recurrent obstruction or native COA, stent migration was reported as the most frequent technical complication, occurring in 5 % of the procedures [
3]. These were all immediate stent migrations, and stents generally moved in an antegrade fashion in the direction of the flow to a more distal position in the descending aorta. Such a complication can be corrected either by repositioning of the stent or deployment of the stent in the descending aorta, followed by new stent implantation at the site of stenosis or coarctation [
3‐
5]. The occurrence of late migration has been reported sporadically. For example, one asymptomatic delayed stent migration was detected 3 weeks after the procedure and was displaced distally [
6]. Pilla et al. described two cases of late stent migration: one showed slight distal migration, associated with small aneurysm formation, but the stent was still covering the COA site, the other was found in the abdominal aorta, and a new stent implantation was required [
7]. These authors suggest that late stent migration probably occurs early after implantation, but is detected later during follow-up. Therefore, accurate imaging is necessary before discharge and during follow-up. To our knowledge, retrograde migration of an aortic stent for COA into the ascending aorta has only been reported once. In a 15-year-old girl, a stent was placed for recurrent COA; during final pressure measurement the stent was dislodged and moved into the ascending aorta, just above the aortic valve. The stent was removed surgically and the aortic arch was reconstructed with a patch [
8]. In our patient the decision for a surgical approach was based upon the concern for the presence of the stent in the transverse arch, with a possible risk of cerebral embolisation of vascular tissue fragments during a new catheter intervention. Also the sharp angle in the distal arch made it unattractive for placement of rigid and overlapping stents, which probably would not result in a nice curved distal aortic arch.