Born in Glasgow, Aitkenhead came to Canada as a young child with his family, and grew up in Yorkton, Saskatchewan.

Andy Aitkenkead played ten years in various minor leagues in Western Canada, most notably appearing in the 1923 Memorial Cup with the Saskatoon Quakers.

He won the job as starting goaltender for the Rangers from John Ross Roach, who had twice led the team to the Stanley Cup Finals.

[4] In his first two seasons in New York, Aitkenhead played in every single game for the Rangers,[1] and he put up solid numbers.

[2] The following season, Aitkenhead finished fifth overall in goals against, yet second in wins, and third in shutouts,[7] however the Rangers were eliminated by the Maroons in the opening round of the playoffs.