Pseudoaneurysm formation is an uncommon complication of simultaneous a
ortic and renal artery revascularization procedures that has been note
d to occur primarily at sites of anastomosis. We present the computed
tomographic and angiographic findings of an unusual case of contained
leak arising from the proximal renal artery stump with associated infe
rior vena caval compression and thrombosis in a patient who had had ab
dominal aortic aneurysmectomy and bilateral aortorenal bypass.