Pseudoaneurysm formation with superior vena caval syndrome 7 years after aortic composite graft placement

With the advent of the composite graft for combined aortic valve and ascending aortic root operations, post-operative bleeding complications have been reduced. Hemorrhage along the suture sites may occur as a late complication and rarely may originate from the coronary-aortic graft junction. We report a case of a massive pseudoaneurysm, seen as "superior vena caval syndrome," 7 years after operation.