Recently, the endovascular approach in abdominal aorta aneurysm (AAA) management has become a more popular and alternative approach to open surgery, mainly when is achieved to proper patients that is more comfortable for both patient and surgeon. In this case, our patient developed Type III endoleak complication after 2 years of the Endovascular aneurysm repair (EVAR) procedure and was treated by open surgery and combined graft technique.