Team of surgeons of Emergency Hospital of Naberezhnye Chelny has performed a unique operation. 83-year-old man entered the clinic with complaints of abdominal pain in the right hypochondrium, shortness of breath during exercise. The examination of the patient on tomography revealed a giant aneurysm of the abdominal aorta. Taking into consideration the patient's age and previously surgery on the lungs, the patient was at high risk an open intervention.