Sixty-five yo M with a small infrarenal AAA and large bilateral common iliac artery aneurysms who underwent endovascular repair with hypogastric snorkel technique. (A) Volume rendering of preoperative CT demonstrates bilateral common iliac artery aneurysms and a small infrarenal aneurysm; (B,C) intra-procedure spot images demonstrate endovascular aortic repair using an Endologix AFX® (Endologix Inc, Irvine, CA, USA) endograft in combination with snorkeling of bilateral hypogastric arteries using Gore® Viabahn® stents to preserve hypogastric flow; (D) a 1 month postoperative CT at the level of the bilateral common iliac artery aneurysms demonstrates the parallel orientation of the stent grafts. AAA, abdominal aortic aneurysms.