The Identification and Management of the Profunda Femoris Artery as a Rare Source of a Late Type II Endoleak

ABSTRACT Internal iliac artery aneurysms (IIAA) are found in 20% of abdominal aortic aneurysm (AAA) cases, with a high mortality rate in the event of rupture. Type II endoleaks are a common complication following endovascular intervention. Transarterial or direct sac puncture techniques have superseded open surgical repair due to the challenging nature open surgery presents in accessing the feeding vessel(s). We describe the rare source of a late type II endoleak feeding from the profunda femoris in an 83-year-old male following fenestrated EVAR and concurrent embolisation of the right internal iliac artery (IIA) for treatment of a juxtarenal AAA and IIAA.