Two ways to do it:

  1. Include it in the proximal (bevelled) aortic anastomosis or,
  2. Create a Carrel patch around its orifice from aortic sac BEFORE doing the proximal anastomosis, and then re-anastomose on the aortic graft or use it for the distal anastomosis of an aortic-graft to renal bypass
Carrel patch technique for anastomosis of a renal artery to an aortic graft