Abstract
A 73-year-old man had undergone endovascular aneurysm repair with a handmade stent graft at age 69. Follow-up computed tomography at one year showed type I endoleak and three years later, the maximum aneurysm diameter had increased to 70 mm. Because the patient had severe respiratory dysfunction, the endovascular method was chosen for further management. A Zenith device was used to reduce the risk of migration and enhance the vessel attachment. The patient was discharged in good general condition, without evidence of endoleak.