Report of two in situ reconstructions with a saphenous spiral vein graft of Coxiella burnetii-infected aneurysms of the abdominal aorta Priscilla D.M.

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Report of two in situ reconstructions with a saphenous spiral vein graft of Coxiella burnetii-infected aneurysms of the abdominal aorta Priscilla D.M. Aerts, MD, Moniek van Zitteren, MD, MSc, Marjo E.E. Van Kasteren, MD, PhD, Anton G.M. Buiting, MD, PhD, Jan M.M. Heyligers, MD, PhD, Patrick W.H.E. Vriens, MD, PhD Journal of Vascular Surgery Volume 57, Issue 1, Pages 234-237 (January 2013) DOI: 10.1016/j.jvs.2012.08.042 Copyright © 2013 Society for Vascular Surgery Terms and Conditions

Fig 1 Preoperative computed tomography (CT) scans of both aneurysms. A, Shows the abdominal aortic aneurysm with periaortic collections suggestive for infection (Case 1). B, Shows the extensive periaortic collections and massive infiltration into the vertebral body suggestive for imminent rupture (Case 2). Journal of Vascular Surgery 2013 57, 234-237DOI: (10.1016/j.jvs.2012.08.042) Copyright © 2013 Society for Vascular Surgery Terms and Conditions

Fig 2 Cranial view of infected aneurysms. Overview of the two infected aneurysms caused by C. burnetii. Abscesses and necrotic spots are visible on top of the aneurysm walls and massive infiltration at surrounding tissues. A, Case 1. B, Case 2. Journal of Vascular Surgery 2013 57, 234-237DOI: (10.1016/j.jvs.2012.08.042) Copyright © 2013 Society for Vascular Surgery Terms and Conditions

Fig 3 Vertebral lesions and spiral vein graft in situ. A, Shows extensive vertebral body lesions. The dorsal side of the aneurysm wall has vanished due to infection (Case 2). B, Shows reconstruction of the abdominal aorta using a spiral vein graft, surrounded by a massive infiltrated aneurysm sac (Case 1). Extensive debridement was performed before and right after revascularization. Journal of Vascular Surgery 2013 57, 234-237DOI: (10.1016/j.jvs.2012.08.042) Copyright © 2013 Society for Vascular Surgery Terms and Conditions