Juxta-anastomotic aneurysm in the residual infrarenal abdominal aorta

A 72-year-old man, who had undergone an emergency operation with a tube graft for a ruptured abdominal aortic aneurysm 9 years previously presented with a recurrent true abdominal aortic aneurysm near the proximal anastomotic site. True aneurysmal formation in the juxta-anastomotic aorta proximal to the prosthetic graft as seen in this case is very rare. Since recurrent aortic aneurysms impose significant problems of diagnosis and management, procedures to prevent the recurrence of aneurysms are important in the initial operation.