Pulsatile groin mass 15 years after an aorto bifemoral bypass graft

87 year old male with a 1 month history of an enlarging pulsatile right groin mass. 15 years prior the patient had an aorto bifemoral bypass graft placed for iliac artery occlusive disease and claudication. The patient did not want the open surgical repair that was offered. I performed an endovascular repair in 45 minutes. The advantages of an endovascular approach versus an open surgical procedure are clear - safer, faster recovery, no general anesthesia, almost no risk of infection and no large groin incision.