Method of performing a minimally invasive bypass

A method of performing a procedure on a patient having a first blood vessel including a first lumen having a first lumen inner surface and a second blood vessel including a second lumen with a second lumen inner surface, said method comprising:

• incising a skin of the patient to form a first incision, where the first incision is positioned to provide access to a first location of the first blood vessel;
• incising a skin of the patient to form a second incision, where the second a incision is positioned to provide access to a second location of the second blood vessel;
• puncturing the first blood vessel at the first location to form a first puncture;
• puncturing the second vessel blood at the second location to form a second puncture;
• providing a first stent-graft of a first endovascular stent-graft through the first incision and the first puncture to contact the first lumen inner surface, where the first endovascular stent-graft includes a branching first vascular graft having a first vascular graft end;
• providing a second stent-graft of a second endovascular stent-graft through the second incision and the second puncture to contact the second lumen inner surface, where the second endovascular stent-graft includes a branching second vascular graft having a second vascular graft end;
• subcutaneously threading the first vascular graft end towards the second vascular graft end;
• connecting the first vascular graft end to the second vascular graft end;
• closing the first incision;
• and
• closing the second incision,
• such that the first endovascular stent-graft and second endovascular stent-graft are below the skin of the patient and such that fluid communication is provided between the first blood vessel at the first puncture and the second blood vessel at the second puncture.