After carrying out the first free vein graft transplantation on an ane
urysm of the axillary vein by Lexer in 1907, many attempts were made t
o reconstruct arterial injuries with direct vascular suture technique
or vein graft transplants during the Balkan War (1912) and the First W
orld War (1914-1918). Hans von Haberer gained wide experience in the r
econstructive surgery of traumatic aneurysms al the Department of Surg
ery al the University of Innsbruck. During this period, he operated on
a total of 201 vascular aneurysms, mainly using a direct circular vas
cular suture technique. In 1914, von Haberer described the first recon
struction of a carotid aneurysm. First experiences with vein bypasses
were made, but not pursued in the following years.