Although abdominal aortic aneurysm (AAA) is a common problem in elderly patients, AAA is rare in children. Despite its rarity, early diagnosis is imperative to prevent limbthreatening or fatal complications. The treatment may be complicated, because it must allow for the growth of the child. A saccular AAA in an 11-year-old boy, complicated by three repeated embolizations to the lower extremities and treated by aneurysmorrhaphy 25 years ago, was studied. In addition, the long-term function of a vein interposition graft in the common femoral artery was identified.