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After the hemodynamic data were obtained, an aortogram was performed using a 4F Pigtail catheter in the standard PA/LAT projections and the fractured coarctation stent was identified and appropriate measurements made. Using a 4F angle glide catheter a super stiff Amplatz wire was parked in the distal right subclavian artery. The catheter was removed and the sheath was exchanged over the wire for a 14F x 80-cm Check-Flo sheath. An 18 x 30-cm Gore graft was mounted onto a Palmaz 4010 stent and then the entire stent system was mounted on an 18-mm x 4-cm BiB balloon catheter. The balloon was inserted over the wire and centered within the previously placed, now fractured, coarctation stent. The BiB balloon was deployed in the usual fashion, first by inflating the inner balloon, checking position, the finally inflating the outer balloon for definitive stent deployment. The outer balloon, unfortunately, burst before reaching nominal pressure but the stent was expanded enough that it did not migrate or embolize on balloon deflation.