Fig. 1

From left to right and chronologically, the images of the case of a 12-year-old female patient who underwent aortic thoracic stent placement due to aortic coarctation (a and b), with the impossibility to remove the 12 Fr sheath once the procedure was completed. c Yellow arrow signaling the sheath inside the common femoral artery, d the tip of the sheath in the common iliac artery, yellow arrow signaling a point of narrowing in the external iliac artery (EIA), e green arrow indicates eversion of the intima and media layers of the external iliac artery through the femoral puncture once the introducer was removed, f green arrow indicates an arteriography image of EIA pseudoaneurysm with imminent rupture risk after sheath removal. g Right lower limb with cyanosis. h Great saphenous vein harvested and unsuitable as a graft. i Blue arrow indicates the interposition of ePTFE 6 mm graft from the internal iliac artery to the common femoral artery as a method of vascular reconstruction, j 3D reconstruction of postoperative abdominopelvic Angio CT, where the patency of the PTFE graft is evident and signaled with a blue arrow