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A mycotic aortic aneurysm is a rare condition which is difficult to manage and has a high mortality. It can be managed by in situ repair with allografts, antibiotic-soaked dacron grafts, or neoaortoiliac system (NAIS) using deep femoral-popliteal vein segment; extra-anatomic bypass or endovascular aneurysm repair as a bridge to definitive therapy. We present a case of a juxtarenal mycotic aneurysm managed by NAIS buttressed with posterior rectus sheath. On 6 months' follow up patient is asymptomatic with healthy anastomosis and patent grafts.