Open Abdominal Aortic Aneurysm Repair with Aortic Regurgitation

You are seeing a 58-year-old man in preadmission clinic prior to elective open abdominal aortic aneurysm repair. He is known to have hypertension, hypercholesterolaemia and aortic regurgitation. He stopped smoking when his aneurysm was diagnosed 6 years ago. He lives independently in his own home with his wife. He uses a stationary exercise bike three times per week for 20 minutes and enjoys gardening. Current medications: amlodipine 5 mg daily aspirin (enteric-coated) 100 mg daily enalapril 10 mg daily simvastatin 20 mg daily