Atherosclerotic renal artery stenosis (RAS) is relatively common and often associated with hypertension and progressive renal insufficiency. Technical improvements of interventional endovascular tools have led to a more widespread use of endoluminal renal artery revascularization. Sometimes an endovascular procedure for (RAS) may fail. We report 3 cases successfully treated with laparoscopic assisted aortorenal bypass using an endovascular graft.