Stenting of Complex Coarctation of Aorta with Aberrant Right Subclavian Artery

A 24-year-old man with history of hypertension referred for coarctoplasty. Surprisingly, right arm blood pressure was significantly lower than left arm pressure.
CT angiography showed coarctation of aorta with aberrant right subclavian aorta which originated just after coarctation in descending aorta.
Coarctoplasty was successfully done after passage of V18 guidewire from ascending aorta to descending aorta. Sinus XL, which is a bare self-expandable stent, was deployed from left subclavian artery over stenotic area and aberrant right subclavian artery.