title: Report of two in situ reconstructions with a saphenous spiral vein graft of Coxiella burnetii-infected aneurysms of the abdominal aorta.
abstract: Coxiella burnetii is a rare cause of vascular infections. Yet, Q fever is endemic in the southern part of The Netherlands. This report describes two patients--from the southern part of The Netherlands--with infected aneurysms of the abdominal aorta caused by Coxiella burnetii. Both patients underwent surgical debridement, in situ reconstruction with a great saphenous vein spiral graft, and a transmesenteric omentumplasty. One patient fully recovered, while the other died due to ischemic complications. A multidisciplinary work-up approach to treat infected abdominal aneurysms is proposed, including adequate surgical treatment and long-term antibiotic administration.
authors.affiliation: Department of Vascular Surgery, St Elisabeth Hospital, Tilburg, The Netherlands. p.aerts@elisabeth.nl
authors.forename: Priscilla D M
authors.initials: PD
authors.lastname: Aerts
authors.forename: Moniek
authors.initials: M
authors.lastname: van Zitteren
authors.forename: Marjo E E
authors.initials: ME
authors.lastname: Van Kasteren
authors.forename: Anton G M
authors.initials: AG
authors.lastname: Buiting
authors.forename: Jan M M
authors.initials: JM
authors.lastname: Heyligers
authors.forename: Patrick W H E
authors.initials: PW
authors.lastname: Vriens
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000785:Aneurysm, Infected / Q000000981:diagnostic imaging / Q000382:microbiology / Q000601:surgery*; D017544:Aortic Aneurysm, Abdominal / Q000000981:diagnostic imaging / Q000382:microbiology / Q000601:surgery*; D001027:Aortography / Q000379:methods; D003106:Colon / Q000098:blood supply; D016997:Coxiella burnetii / Q000302:isolation & purification*; D003646:Debridement; D017809:Fatal Outcome; D006801:Humans; D007511:Ischemia / Q000209:etiology; D035002:Lower Extremity / Q000098:blood supply; D008297:Male; D011778:Q Fever / Q000000981:diagnostic imaging / Q000382:microbiology / Q000601:surgery*; D019651:Plastic Surgery Procedures; D012501:Saphenous Vein / Q000637:transplantation*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome