am I exercising too much with a 4.3 ascending aortic aneurysm?

I am sorry you have been diagnosed with this aneurysm. And you are right, you are lucky to have had it discovered while it is still relatively small.

I have the same aneurysm at the same size and have been monitoring it for over 10 years; it is very, very slow growing and is considered "small" by the cardiologist.

I am a 78 YO female who was a gym rat when all this started. I still go to the gym but I do limit my activities. My cardio told me that I should not be lifting more than 25 lbs. The recommendation for a male might be different. I do planks and asked her if these were OK and she said anything that used only my own body weight was OK.

I know your feeling about just having this issue surgically repaired but the surgery itself has risks. There are two types of repair that I know of and one of them is a stent type repair that has an efficacy of about 10 years. If my aneurysm grows to the 5.0+ size, that is likely the repair that would be recommended for me because of my age. The other surgery is open chest surgery, very invasive and not something that anyone would want to have done unnecessarily.

Once you have discussed your exercise regimen with your cardio, I suspect you might find alternatives to some of the weight training you are currently doing and can carry on with your life. Hopefully your aneurysm will be static and you will never need surgery. At the slow rate that my aneurysm is growing, I suspect I will never need surgery and will die of something totally unrelated.

If you have both a CT scan and an echocardiogram for measuring the aneurysm, be aware that they are not measured in the same way. One measures straight across and the other measures on the bias so don't panic if you suddenly get a higher number from a new test. Also, it is helpful to remember that the 4.3 measurement is the actual size of the aorta, not how much bigger it is than the rest of the aorta. Your normal aorta might be 3.8 so 4.3 is a small bulge, not a balloon.

I wish you peace and good health. Your aneurysm is likely not as life threatening as you fear and is just something that needs to be managed -- like so much else as we age.

Donna

Hi yes it’s basically the same. I am now on yearly ultrasound scans because I insisted on them. They are less stressful on the body. Still biking, running and strength training but yes, I do not strain. They are more worried about the bicuspid aortic valve getting thickened and not working properly, so I will have scans, yearly or every six months if it starts to thicken up. But yes, it was difficult for the first while but now I am living life to the fullest.

71 yr old Male 185 #
Just discovered a 4.5 acceding aneurysm
No issue … had a check up due to my brother’s heart issue with one.
Been tri runner and hiker all my life
Planned on 100 miler on AT
Doc said should ( should!!) be ok but know where nearest ER is if needed !
What to di … or what to not do !!!!
100 miler canceled …. No ER’s on remote trails !
Confused with all the dos and don't !!!!
Thats for all the comments ….
Still trying to figure out and modify hiking or walking distance
I now walk about 6-6 mikes a day …. Before Doctor visit !!

71 yr old Male 185 #
Just discovered a 4.5 acceding aneurysm
No issue … had a check up due to my brother’s heart issue with one.
Been tri runner and hiker all my life
Planned on 100 miler on AT
Doc said should ( should!!) be ok but know where nearest ER is if needed !
What to di … or what to not do !!!!
100 miler canceled …. No ER’s on remote trails !
Confused with all the dos and don't !!!!
Thats for all the comments ….
Still trying to figure out and modify hiking or walking distance
I now walk about 6-6 mikes a day …. Before Doctor visit !!

It’s a tough question to answer because it’s all about whether or not you want to risk being out in the middle of nowhere when you’re Aorta dissects. if it were me, I would stop running and get the earliest surgical appointment to have open-heart surgery to get it repaired. Given the fact that you are 71, you are in great shape, I think that the surgery is worth it. It is much easier to deal with in a non-emergent situation Like you have right now. If your aorta blows, you’re not likely to survive it if you are not in an emergency room or very very very close to one. If you are in Rochester across the street from Mayo, you’ve got a chance. If you are in the suburbs and an hour from the nearest High-end cardiac center. Well, I think your chances are pretty low. I have had an emergency full dissection in San Diego California in 2015. I was 50 years old and overweight and hypertensive. It was an absolute personal and professional disaster. Most people who survive a complete dissection , which is a very small percentage, never go back to work. I can tell you that almost 9 years out I think about it every day and I make an effort to be extra kind to my wife and kids who suffered terribly in that experience. If you are a single person and you’ve got all of your will, power of attorney and healthcare directives put together than I guess you should do whatever makes you happiest. But, if you are married and have a family, which you love, I think it would be Whoo you to think seriously about having corrective surgery at if you’re re a candidate. I am very glad that I survived, but never a day passes where I don’t think about the fact that I am incredibly lucky to have made it. I was in a major metropolitan area on a quiet evening, where the on-call surgeon had 40 years of experience. You might not be that lucky so I really, encourage you to think about what’s important to you. If running is the only thing that matters, then I guess you run. But if you have other things that takes precedent in your life it may be time to slow down. I’d be happy to talk with you directly if you want to email me your contact information. Pete pbarry@lawpoint.com

I am Female, age 79. I have an ascending aortic aneurysm, diagnosed in 2007 at 3.8. It is now 4.2. These things are often slow growing. My only exercise limitation has been to lift no more than 25 lbs.

I believe the aneurysm is considered for surgery when it is in the 5 to 6 cm range. This surgery is huge and the surgery itself has risks. I would not consider pushing for surgery before the aneurysm has become life threatening.

I personally think being near an ER is wishful thinking. I understand if the aneurysm is going to burst, that is the end. But the likelihood of it bursting before it gets in the 5 to 6 cm range is rare.

I suggest doing some on-line research at NIH, Mayo, Cleveland Clinic, Cornell Weill websites and then making another appointment with your cardio to discuss your questions and personal situation.