Universal modular stented graft assemblies are assembled, on site, and
often in a patient's parent artery, from at least two components; a first
component and a second component. The first and second components each
include a window, or fenestration. The second component couples with the
first component by fitting at least partially in the first component to
form the universal modular stent graft assembly with an adjustable
collateral opening. As the first and second components are assembled, the
first and second components are adjusted relative to each other so that
the first and second component windows overlap to form a collateral
opening whose size is selectable, depending on the overlap, with the
desired position and dimensions in the universal modular stent graft
assembly.