The treatment of aneurysms has tried the ingenuity and skill of surgeons from the earliest of recorded medical experience. In the third century, Antyllus1 recommended ligation of the proximal and distal artery, followed by opening and evacuation of the sac. In 1786, John Hunter1 advised proximal ligation well above the diseased portion of the artery to prevent erosion of the wall and hemorrhage, an operation which he performed successfully on many occasions.
After the monumental discoveries of Lister, treatment of these lesions was greatly enhanced, and the way prepared for the more definitive aneurysmorrhaphy techniques described in 1889 by Matas.2 Although Carrel * wrote little on the subject of aneurysm itself, he described accurate methods for blood vessel anastomosis, demonstrated the feasibility of arterial grafting by the employment of fresh and preserved vessels and so made possible the excision of aneurysms and their replacement by preserved grafts. This