Ascending aortic pseudoaneurysms are rare, life-threatening complication of cardiac surgery, trauma, or infection. They’re predisposed to rupture and distal embolization. Surgical repair of pseudoaneurysms is often considered but is associated with high mortality and morbidity. Alternatively, endovascular closure may be an effective treatment in selected patients, especially in elderly and those with high morbidity where open surgery is not an option. This case emphasizes on the use of multimodality imaging approach for planning and the use of minimally invasive interventional techniques to treat such complex diseases.

Abbreviation:CTA: Computed Tomography Angiogram; TEE: Trans-Esophageal Echocardiography