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Systematic analysis of both explants, including the 13 EAs, revealed the following lesions (1) alteration of textile structure directly linked to several penetrations of the fabric with the same EA and tears of the textile fibres in two cases; (2) tears of the binding threads as the EA had passed through them in five cases; and (3) interactions between EA and endograft stents in four cases. The site of EA penetration into the endograft might contribute to endograft fabric damage and to a loss of stability of the endograft at the level of