Former US President George W. Bush, 67, a fitness enthusiast whose presidency was shaped by the attacks on September 11, 2001, underwent successful surgery at a Dallas hospital yesterday to place a stent in a blocked heart artery.

Doctors discovered the blockage on Monday during Bush’s annual physical at the Cooper Clinic in Dallas, according to a statement from spokesman Freddy Ford.

Doctors recommended a stent to open the blockage, and he underwent surgery yesterday morning at Texas Health Presbyterian Hospital, the statement said.

The former president was “in high spirits, eager to return home tomorrow and resume his normal schedule on Thursday,” Ford said.

Bush was known as a fitness enthusiast during his two terms in the White House, from 2001 to 2009, and liked to run before knee pain led him to do more cycling.

Since leaving the White House, Bush has participated three times in the 100-kilometre Warrior 100K bike ride, along with 20 wounded military veterans.

As president, he introduced the Adult Fitness Challenge and the Presidential Active Lifestyle Award. The website AskTheTrainer.com named him the most physically fit president in US history.

His father, George H.W. Bush, served as president from 1989 to 1993. Now 89, the elder Bush spent seven weeks in a Houston hospital for bronchitis and related ailments last year. He often makes public appearances in a wheelchair.

The younger Bush left office in January 2009 with low public approval ratings due to the US financial crisis that erupted near the end of his second term, and the unpopular war in Iraq.

But a Gallup poll in June showed 49 per cent of respondents viewed him favourably versus 46 per cent unfavourably – the first time since 2005 that opinions of him were more positive than negative.

Bush’s presidency was influenced by the attacks of September 11, 2001, which led him to send US forces to invade Afghanistan and then Iraq. The subsequent years of combat in Iraq divided the United States and cost thousands of lives and hundreds of billions of dollars.

Sign up to our free newsletters

Get the best updates straight to your inbox:
Please select at least one mailing list.

You can unsubscribe at any time by clicking the link in the footer of our emails. We use Mailchimp as our marketing platform. By subscribing, you acknowledge that your information will be transferred to Mailchimp for processing.