Abstract
One of the important public health condition is Abdominal aortic aneurysm that affect males between 1.3% and 12.5% in males, and females between 0.0% and 5.2% [3]. Appearance generally in women later than men by 10 years [4].
Other more frequent risk factors associated with abdominal aortic aneurysm are: age, gender, hypertension, family history and coronary artery disease [7].
Here we present a case of 43 years old female previously fit with no medical history, having abdominal aortic aneurysm. Patient managed by a bifurcated aortic polytetrafluoroethylene graft . Our recommendation is that to use the simplest reconstruction and packing in critical and life saving cases another issue that ligation of left renal vein at level of inferior vena cava not always safe and has to be repair if the situation permit.