Surgical management of infected endovascular aortic stent graft secondary to Coxiella burnetii infection

The management of an endograft infection with Coxiella burnetti (Q fever) is presented. In this case report, we describe a unique case of an endovascular aneurysm repair (EVAR) that was originally placed for a 6.4-cm abdominal aortic aneurysm with an aorto-left renal vein fistula. In retrospect, the...

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Published inJournal of vascular surgery cases and innovative techniques Vol. 10; no. 6; p. 101581
Main Authors Konda, Sai, Ihnat, Daniel, Orecchia, Paul
Format Journal Article
LanguageEnglish
Published Elsevier Inc 01.12.2024
Elsevier
Subjects
Aortic graft infection
Case report
Chronic Q fever
Coxiella burnetti
Cryopreserved allograft
Cryopreserved allograft
Aortic graft infection
Coxiella burnetti
Chronic Q fever
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Summary:The management of an endograft infection with Coxiella burnetti (Q fever) is presented. In this case report, we describe a unique case of an endovascular aneurysm repair (EVAR) that was originally placed for a 6.4-cm abdominal aortic aneurysm with an aorto-left renal vein fistula. In retrospect, the abdominal aortic aneurysm was most likely infected at the time of EVAR. The patient presented 2 years later with a virulent infection of the stent graft requiring explantation and reconstruction. This case highlights surgical management of an infected EVAR with homograft reconstruction and subsequent antibiotic management.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Feature-4
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ISSN:2468-4287
2468-4287
DOI:10.1016/j.jvscit.2024.101581