Figure 2.

Explantation of the fenestrated endograft. (A) Picture of the aorto-enteric fistula (arrowhead) and the important local inflammation responsible for increased difficulty in surgical debridement. (B) Thoracic aorta to left renal bypass with an antimicrobial graft performed before explantation (upper arrowhead), and explantation of the limbs first by unplugging the distal modules (lower arrowhead). (C) Explantation of the left renal stent graft (arrowhead). (D) Explantation of the right renal stent graft (arrowhead) and perfusion of the right kidney using a 4°C Ringer lactate solution. (E) Explantation of the barbs and the hooks of the fenestrated graft by squeezing the upper stent and gently pushing the stent hooks in a proximal direction (arrowhead). (F) Complete explantation of the fenestrated module.