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After cutting ties with the Canadian club, Athletic Bilbao did not exercise their buyback option and Aketxe's original loan with Cádiz became an official deal, expiring on 30 June 2019.

On 13 July 2019, free agent Aketxe joined fellow second division side Deportivo de La Coruña on a one-year deal, where he was given the number 10 shirt. He scored a goal on his official debut on 18 August, in a 3–2 home victory over Real Oviedo.

Aketxe signed with Major League Soccer side Toronto FC on 23 February 2018, with Athletic holding a buy-back option at the conclusion of his contract. He made his debut four days later, coming on as a second-half substitute in a 0–0 home draw against Colorado Rapids in the second leg of the round of 16 of the CONCACAF Champions League. His first start came on 3 March in the opening match of the 2018 MLS season, a 0–2 home defeat to Columbus Crew SC.

On 11 July 2018, Aketxe returned to Cádiz after agreeing to a six-month loan with an option to purchase. In November, Toronto and player terminated the remaining term on their contract "by mutual consent".

On 31 January 2017, after making no appearances during the first half of the campaign due to recovering from a serious knee injury suffered at the end of the previous season, Aketxe was loaned to Cádiz CF in the second tier until June. On 16 February 2018, Athletic cancelled his contract with immediate effect (retaining the right to re-sign him in the following years) to allow him to negotiate a move abroad.

In May 2016, Aketxe and two others were put on trial for having caused minor injuries to an off-duty ertzaina the previous August during a local festival in his place of residence, the Getxo neighbourhood of Romo.

Aketxe scored his first goal in the Spanish top flight on 17 May 2015, netting his team's first in a 3–2 away win against Elche CF to help Athletic come from behind 0–2. In the beginning of 2016, he was moved down back to the B-side to help them avoid relegation from Segunda División and gain some minutes. On 27 February he scored a hat-trick in a 4–2 home win over SD Ponferradina, but the team eventually finished in 22nd and last position.

On 2 September 2014, Aketxe was promoted to the main squad in La Liga, being assigned number 23 jersey. He appeared in his first match as a professional on 17 September, coming on as a substitute for Iker Muniain in the 75th minute of a 0–0 home draw against FC Shakhtar Donetsk for the campaign's UEFA Champions League; however, he sustained a foot injury in that match which put him out of action for six weeks.

In May 2012, Aketxe was promoted to the reserves in Segunda División B. He featured regularly for the side, playing in all league games in his second season.

Born in Bilbao, Biscay, Basque Country, Aketxe joined Athletic Bilbao's Lezama setup in 2003, aged nine. He made his senior debut with the farm team in 2011, in Tercera División.

Ager Aketxe Barrutia (born 30 December 1993) is a Spanish footballer who plays for Deportivo de La Coruña as an attacking midfielder.