We report a case of a 71-year-old hypertensive female patient presenting with haemoptysis and retrosternal pain from a leaking pseudo-aneurysm associated with a Dacron onlay patch used to repair a coarctation of the aorta 27 years earlier. This case illustrates a late and potentially fatal complication of this type of operation and describes a recent technique to reach the exact diagnosis and location of the aneurysm.
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