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A case of abdominal aortic aneurysm (AAA), treated with a repositionable stent-graft, in the presence of bilateral common iliac stents positioned partially within the aneurysm is presented.

An 84 year-old man had endovascular repair of a 55 mm AAA. Bilateral common iliac stents, which had been implanted 14 years previously for iliac occlusive disease, were partially positioned within the aneurysm. Endovascular repair required partial device deployment above the aneurysm to enable contralateral limb cannulation. The stent graft was then positioned correctly and fully deployed.

This case highlighted the utility of a stent-graft with a repositionable delivery system.