We report a case of an elderly patient with diabetes with calcific aor
tic atherosclerosis in whom a juxtarenal aortic aneurysm developed aft
er Candida fungemia. Our approach included extraanatomic reconstructio
n of the lower extremities, hepatorenal arterial bypass of the right k
idney, retroperitoneal excision of the infected aortic segment, intrav
enous administration of amphotericin B after operation, and lifetime s
uppression of Candida organisms with oral antifungal therapy.