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Eighty-five yo M with a history of a treated infrarenal abdominal aortic aneurysm with a growing sac. Patient underwent successful repair of a type 1a endoleak with AptusTM Heli-FXTM EndoAnchorTM (Medtronic Inc, Sunnyvale, CA, USA). However, on follow-up imaging patient had continued sac growth. (A,B) Patient underwent proximal extension of the seal zone with simultaneous stenting of the left renal artery using the chimney technique.
