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.