Abstract
A 61-year-old man was admitted because of pain in the abdomen and the left lower extremity. Computed tomography (CT) showed rupture of an abdominal aortic aneurysm and occlusion of the left common iliac artery. We performed emergency graft replacement. However, while attempting to declamp the left lower extremity reperfusion occurred, therefore we decided to perform modified controlled limb reperfusion again attempting before declamping, which was successful. The patient’s postoperative course was uneventful. This method was a simple and rapid technique to prevent reperfusion injury.