Open repair of a Coxiella burnetii-associated abdominal aortic endovascular stent graft infection with a cryopreserved allograft using visceral artery pump perfusion

Abstract

Coxiella burnetii, the causative organism of Q fever, has been increasingly reported to be associated with infections of abdominal aortic aneurysms and endovascular stent grafts. We have added to the current literature by presenting a case of the surgical management of chronic Q fever that had infected a prior aortic endovascular stent graft placed for a contained rupture of an infrarenal aortic aneurysm in a 68-year-old woman. We presented our case of the surgical management of the excision and explantation of the infected aorta and stent graft, with reconstruction of the aorta using a cryopreserved aortic graft and visceral artery pump perfusion.

Keywords

• Chronic Q fever
• Coxiella burnetti
• Infected stent graft
• Q fever
• Visceral artery pump perfusion