We report a case of a 71-year-old hypertensive female patient presenti
ng with haemoptysis and retrosternal pain from a leaking pseudo-aneury
sm associated with a Dacron onlay patch used to repair a coarctation o
f the aorta 27 years earlier. This case illustrates a late and potenti
ally fatal complication of this type of operation and describes a rece
nt technique to reach the exact diagnosis and location of the aneurysm
. (C) 1998 The International Society for Cardiovascular Surgery. Publi
shed by Elsevier Science Ltd. All rights reserved.