In surgical aneurysm repair, your vascular surgeon repairs or removes an aneurysm through an incision in your skin and muscle over the artery with the aneurysm. The artery is clamped above the aneurysm to stop blood from flowing through the area. Then the aneurysm is opened and the clotted blood and plaque deposits are removed. In some cases, instead of removing the aneurysm, an expandable stent graft will be inserted and surgically attached to a healthy artery. This procedure is called an endovascular repair.