I was also diagnosed in December '23. I have never had any symptoms. My aneurysm was found in a checkup with my general practitioner after my 65 yr old brother died suddenly from an unexpected heart attack or aortic dissection. We don't know for sure because the autopsy that I had requested wasn't done. In December '23 my CT scan showed an ascending aortic dilation of 4.2, but missed an aortic root aneurysm. My echocardiogram that same day measured my ascending aorta dilation at 4.3, and found my aortic root aneurysm at 4.5. I was referred to a cardiologist in town for further testing and I got an echo from him in February that measured my ascending aorta at 4.1 and my Aortic root at 4.2. I got into Mayo in March, and my cardiologist there didn't like and was confused by the February echo and so I had another that day and it measured my ascending aorta at 4.2 and my aortic root at 4.7. For a number of reasons, he referred me to their congenital aorta specialist who did a Ct Scan with contrast that showed my ascending aorta at 4.1 and my aortic root at 4.8. I'm meeting with a geneticist at Mayo next month, and the congenital aorta specialist says that if DNA testing finds a genetic marker for this, she would recommend I look at surgery options now with the 4.8 measurement because genetically caused aneurysms are more dangerous sooner. If no marker is found she recommends that I get an echocardiagram one time per year, and to evaluate surgical options once the aortic root reaches 5.0. I am so glad I was able to get into the Mayo system. There are handful of hospital systems that are world class for aorta issues - and I would highly recommend you make sure that yours is one of them. Best of luck to you on this journey!