Despite of the susceptibility to the Citrus tristeza virus (CTV), Pera sweet orange is the most important citrus cultivar in Brazil. The objective of this study was to evaluate the CTV aggressiveness and the relationship with the agronomic performance of 24 accessions of Pera and related sweet oranges. Accessions belonging to the Citrus Germplasm Collection of the Instituto Agronômico do Paraná (IAPAR), Londrina, PR, were included in the study. Citrus tristeza disease was rated based on the severity of stem pitting symptoms. Yields were evaluated in the 2010/2011, 2011/2012, and 2012/2013 seasons, and tree growth in 2012. The best performance regarding stem pitting severity was shown by Redonda accession, followed by Ipiguá II. Vegetative tree vigor was more evident for Redonda, Tardia CO3, and Guilherme Spagnol accessions. These Pera and related sweet oranges accessions also showed the highest fruit yields, along with Vimusa, Santa Tereza, Ipiguá, Ipiguá II, D-6, and Paulo Rosa. Vegetative tree vigor, yield and number of fruits were inversely correlated with citrus tristeza disease stem pitting severity. Therefore, the poor agronomic performance of some Pera and related sweet oranges is probably related to the presence of severe CTV complexes infecting these accessions.