AUTHOR=Mouche A. , Baron J. , Toquet C. , Le Corvec T. , Maurel B. , Benichou A. , Mougin J. 

TITLE=Homemade pericardial bifurcated graft for Q fever-infected abdominal aortic aneurysm open repair: a case report

JOURNAL=Frontiers in Cardiovascular Medicine

VOLUME=11

YEAR=2024

URL=https://www.frontiersin.org/journals/cardiovascular-medicine/articles/10.3389/fcvm.2024.1418949

DOI=10.3389/fcvm.2024.1418949

ISSN=2297-055X

ABSTRACT=<p>Q fever is a zoonotic infection caused by <italic>Coxiella burnetii</italic>. In rare cases, it can lead to vascular complications, including infected aneurysms. Successful treatment involves surgery and antibiotics, but there is no established consensus or clear recommendation for the choice of material graft. We report a case of abdominal aortic aneurysm infected by <italic>C. burnetii</italic> treated by open surgery with complete resection of the aneurysm and homemade bovine pericardial bifurcated graft reconstruction and long-term antibiotherapy using doxycycline. One year postoperatively, the patient had no sign of persistent infection or vascular complication. Moreover, <italic>C. burnetii</italic> immunoglobulins titers decreased 6 months postoperatively.</p>