Figure 9. (A) Immediate postoperative contrast computed tomography (CT) scan of the patient in Figure 8. The CT scan shows complete exclusion of the 6-cm abdominal aortic aneurysm (AAA) with no evidence of an endoleak. (B) Postoperative CT scan (12 months) shows continued exclusion of the AAA with shrinkage of the AAA sac (4 cm). (C) Postoperative CT scan (21 months) shows an endoleak with an acutely enlarging AAA sac. This endoleak was a type 1 endoleak (distal attachment). It was treated by deploying a second endovascular graft to bridge the defect between the separated limb and the left common iliac artery. (D) CT scan obtained 52 months after the initial repair and 34 months after the secondary intervention. The AAA has shrunk without evidence of further endoleak.