Low profile stent graft having a check valve

1. An endoluminal prosthesis, comprising:

a graft having a tubular body and a surface comprising a first biocompatible material, the graft comprising a main lumen disposed therein, a proximal end, and a distal end, and an intermediate section positioned between the proximal end and the distal end,

a plurality of stents attached to the intermediate section of the graft about the surface and arranged in longitudinally spaced rows, the stents comprising a plurality of struts interconnected by apices;

at least one aperture through a side wall of the intermediate section of the graft, the aperture in fluid communication with the main lumen;

a valve arrangement connected to the intermediate section and associated with the at least one aperture, the valve arrangement having an open position and a closed position, and;

a liner comprising a second biocompatible material secured about the intermediate section and surrounding the valve arrangement,

wherein the valve arrangement is positioned between adjacent rows of stents, wherein at least one of the plurality of stents is in an out-of-phase configuration, and wherein the valve arrangement is positioned between the at least one of the plurality of stents in the out-of-phase configuration and an adjacent stent row.

2. The endoluminal prosthesis of claim 1 , wherein the second biocompatible material has greater pliability than the first biocompatible material.

3. The endoluminal prosthesis of claim 1 , wherein the aperture comprises a generally circular configuration.

4. The endoluminal prosthesis of claim 1 , wherein the aperture comprises a slit in a longitudinal direction.

5. The endoluminal prosthesis of claim 1 , wherein the valve arrangement comprises a third biocompatible material having four sides, wherein three of the four sides are secured to the graft.

6. The endoluminal prosthesis of claim 1 , wherein at least one side of the valve arrangement is secured adjacent to struts on longitudinally adjacent rows of stents.

7. The endoluminal prosthesis of claim 1 , wherein the valve arrangement comprises a third biocompatible material having four sides and four corners, wherein the four corners are secured across struts on longitudinally adjacent rows of stents.

8. The endoluminal prosthesis of claim 7 , wherein the four sides of the valve arrangement remain unsecured.

9. An endoluminal prosthesis, comprising:

a tubular graft having a proximal end, a distal end, an intermediate section positioned between the proximal end and the distal end, and a main lumen disposed therein, the tubular graft comprising a first biocompatible material;

a plurality of stents disposed about a surface of the intermediate section of the tubular graft and arranged in longitudinally spaced rows;

at least one aperture disposed through a sidewall of the tubular graft, the at least one aperture positioned between two longitudinally spaced rows of stents;

a valve arrangement associated with the at least one aperture, the valve arrangement being secured to the tubular graft about the at least one aperture; and,

an outer liner comprising a second biocompatible material and connected to the tubular graft between the proximal end and the distal end and surrounding the valve arrangement,

wherein the valve arrangement is positioned between adjacent rows of stents, wherein at least one of the plurality of stents is in an out-of-phase configuration, and wherein the valve arrangement is positioned between the at least one of the plurality of stents in the out-of-phase configuration and an adjacent row of stents.

10. The endoluminal prosthesis of claim 9 , wherein the second biocompatible material has greater pliability than the first biocompatible material.

11. The endoluminal prosthesis of claim 9 , wherein the aperture comprises a generally circular configuration.

12. The endoluminal prosthesis of claim 9 , wherein the aperture comprises a slit in a longitudinal direction.

13. The endoluminal prosthesis of claim 9 , wherein the tubular graft further comprises a first leg and a second leg separated by a bifurcation, the first leg and the second leg extending from the distal end of the tubular graft.

14. The endoluminal prosthesis of claim 9 , wherein the valve arrangement comprises a third biocompatible material having four sides, wherein three of the four sides are secured to the tubular graft.

15. The endoluminal prosthesis of claim 9 , wherein the valve arrangement comprises a third biocompatible material having four sides and four corners, wherein the four corners are secured across struts on longitudinally adjacent rows of stents.

16. An endoluminal prosthesis, comprising:

a bifurcated graft having a tubular body and a surface comprising a first biocompatible material, the bifurcated graft comprising a main lumen disposed therein, a proximal end, and a distal end, and an intermediate section positioned between the proximal end and the distal end;

a plurality of stents disposed about a surface of the intermediate section of the bifurcated graft and arranged in longitudinally spaced rows, at least one of the plurality of stents having an out-of-phase configuration;

at least one aperture through a side wall of the intermediate section of the bifurcated graft, the aperture in fluid communication with the main lumen;

a valve arrangement associated with the at least one aperture and connected to the intermediate section between the at least one of the plurality of stents in the out-of-phase configuration and an adjacent stent row and, the valve arrangement having an open position and a closed position, and;

an outer liner comprising a second biocompatible material secured about the intermediate section and surrounding the valve arrangement.