“…The treatment options available for the management of IIAA include surgical excision, aneurysmorrhaphy, ligation (either of the aneurysm neck alone or proximal and distal ligation of the aneurysm), and the endovascular approach 4 . Proximal ligation of IIAA alone has been reported as a treatment option with a lower rate of perioperative mortality and morbidity 8 . There are several reports, however, of continuing growth of the aneurysm sac, resulting in compression of adjacent structures or rupture, following proximal ligation alone 9 .…”