#$%^&*AU2012268911A120130711.pdf#####ABSTRACT 100931 An endoluminal prosthesis comprises a graft having a tubular body comprising proximal and distal ends, and a valve replacement disposed between the proximal and distal ends of the graft. At least one stent is coupled to the graft and has a contracted delivery state 5 and an expanded state for maintaining patency within a portion of the graft. At least one fenestration is disposed in a sidewall of the graft at a location distal to the valve replacement. In one embodiment, the at least one fenestration is pivotable in any direction away from an axis perpendicular to a longitudinal axis of the prosthesis. 101/10 22 20 16d 42 21 28 12 26 16b16 16c-24 322 30 38 4 12 26 21)4 36 F ig. 48 2816d 30-221826 12 12 28 26 30 14 22 F i g .2