Recurrent supra-anastomotic aneurysm following infrarenal aortic repair

A 72-year-old woman presented with a recurrent proximal aortic true aneurys m 7 years after an abdominal aortic aneurysmectomy. It was complicated by a contained rupture into the right psoas. The repair was successfully realiz ed through a thoraco-abdominal approach. A tube graft was interposed betwee n the proximal aorta and the old graft, associated with the reimplantation of the renal arteries. A systematic follow-up of abdominal aortic grafts by reliable diagnostic methods is advocated to provide a timely and appropria te surgical treatment of this major complication.