DISCHARGE AND AFTERCARE

After Abdominal Aortic Aneurysm Repair

March 21, 2017

After Endovascular Abdominal Aortic Aneurysm Repair

You have had a procedure to repair an abdominal aortic aneurysm (AAA), which happened when a weakened part of a blood vessel in your abdominal area expanded like a balloon. During an endovascular repair, your healthcare provider created two small incisions near your groin. A thin, flexible tube (catheter) was threaded into the artery at the incision. A graft was placed inside the catheter and guided toward the damaged part of your aorta to prevent more problems.

Home care

Recommendations for taking care of yourself at home include: 

  • Avoid strenuous activity for 7 to 10 days after your surgery.

  • Ask your healthcare provider when you can expect to return to work.

  • Gradually increase your activity. It may take some time for you to return to your normal activities.

  • Don’t drive for 2 weeks after surgery, especially if you are still taking opioid pain medicines. Ask someone to take you to any appointments.

  • Check your incision every day for signs of infection. These include swelling, redness, drainage, or warmth.

  • Keep your incision clean. Wash it gently with soap and water while you shower.

  • Don’t swim or use a hot tub until your healthcare provider says it is OK.

  • Don’t lift anything heavier than 5 pounds for 4 weeks after surgery.

  • Avoid sitting or standing for long periods without moving your legs and feet.

  • Keep your feet up when you sit in a chair.

  • Take your medicines exactly as directed. Don’t skip doses.

When to call your healthcare provider

Call your healthcare provider right away if you have any of the following:

  • Redness, pain, swelling, or drainage from your incision

  • Fever of 100.4°F (38°C) or higher, or as directed by your healthcare provider

  • Sudden coldness, pain, or paleness in your leg

  • Loss of feeling in your legs

  • Severe or sudden stomach pain

  • Nausea or vomiting

  • Trouble breathing

  • Pain or heaviness in your chest or arms

  • Any unusual bleeding

  • Unable to urinate

  • Bloody bowel movements or bloody diarrhea

Follow-up

  • Make a follow-up appointment to have your incisions checked and staples removed within 7 to 10 days.

  • Make follow-up appointments as directed.

Updated:  

March 21, 2017

Sources:  

Surgical and endovascular repair of ruptured abdominal aortic aneurysm. UpToDate

Reviewed By:  

Mancini, Mary, MD,Sather, Rita, RN