Children with congenital heart disease represent 1% of live births, and it is estimated that millions will reach adulthood. Advances in cardiac surgery for the treatment of pediatric congenital heart disease have allowed many of these patients to enjoy a long life. Adults with a history of repaired congenital heart disease present different and unique challenges to the adult interventional cardiologist. This is a case report of a patient who presented with pseudoaneurysm of a repaired coarctation of the aorta, illustrating the need for the interventional cardiologist to be innovative in using the many occluding devices available in the laboratory. Our case demonstrates the technical feasibility of occluding the pseudoaneurysm tube graft used for the correction of the coarctation of the aorta. This procedure can be performed safely and successfully in expert hands.