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Abstract
Aortic surgery is one of the most interesting and challenging fields of vascular surgery with an explosive development over the last decades. Aneurysms of the infra renal aorta are by far the most common arterial aneurysms encountered in clinical practice today, they are three to seven times more common than thoracic aneurysms. The aim of the treatment for the intact AAA is to prevent aneurismal expansion as this increase the risk of potentially life threatening rupture. Since 1951, open surgical repair has been practiced, minimally invasive endovascular aneurysm repair was first described in 1986, nowadays the endovascular repair of infra renal aortic aneurysm is widely accepted approach modality. EVAR is a minimally invasive technique that can be performed under general, regional or local anesthesia and involves the placement of a stent-graft inside the aneurysm sac through the common femoral arteries