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Type II endoleak from an accessory renal artery. (A–C) Preoperative CTA demonstrated a fusiform juxta-renal AAA. Cross-sectional inspection of CTA demonstrated a small accessory left renal artery. (D–F) Postoperative CTA demonstrated a well-positioned fenestrated aortic endograft with patent renal artery stents. A Type II endoleak is visualized directly adjacent to the accessory renal artery from delayed retrograde filling.
