Post-Surgical Repair of Aneurysm

With improved surgical outcomes, and without contraindication for surgery, aneurysms can be electively repaired to prevent rupture. The decision by the treating provider not to surgically repair an aneurysm does not mean that the driver can be certified to drive safely. However, a recommendation to surgically repair an aneurysm disqualifies the driver until the aneurysm has been repaired and a satisfactory recovery period has passed.

Waiting period

Minimum — 3 months post-surgical repair

NOTE: If more than one waiting period applies (because of multiple cardiac conditions or other comorbid diseases), examine the driver for certification after the completion of the longest waiting period.

Decision

Maximum certification period — 1 year

Recommend to certify if:

The driver:

• Is asymptomatic.
• Has clearance from a cardiovascular specialist who understands the functions and demands of commercial driving.

Recommend not to certify if:

The driver has:

• Recommendation for surgical repair of an aneurysm from a cardiovascular specialist who understands the functions and demands of commercial driving, but has not had surgical repair.

Monitoring/Testing

When post-surgical treatment includes anticoagulant therapy, the driver should meet monitoring guidelines.

Venous Disease Recommendation Table (PDF) — Coumadin

Follow-up

The driver should have an annual medical examination.

Aneurysm Recommendation Table (PDF) — Peripheral Vascular Disease (PVD)