This 71-year-old male with a history of morbid obesity, sleep apnea, CAD status post CABG x 4, presented with abdominal pain and was found by CT scan to have a 6-cm infrarenal AAA. He was initially prepared for a repair in outside hospital that upon review of the aneurysm extended up to include of the origin of at least to the left renal artery and this was felt to be a suprarenal abdominal aortic aneurysm requiring a retroperitoneal approach. He underwent an uncomplicated open repair of his abdominal aortic aneurysm through a retroperitoneal flank approach. Intraoperatively, he received 7800 units of crystalloid, 6 units of cell saver, and 2 units of packed red blood cells and put out 1200 cc of urine, 175 cc out of the nasogastric tube, with an EBL of 2400 cc. He was initially started on his home Celebrex and other medications, and the epidural was capped on postop day #2, 1/29/05. He was placed on aspirin and subcutaneous heparin for anticoagulation and was Hep-Lock'd on postop day #3 as he was taking good p.o. orally. He was out of bed to chair multiple times during the day and was discharged home with services.
has there been a prior hep-lock'd
was Hep-Lock'd on postop day #3 as he was taking good p.o. orally.