That’s a really difficult place to be, and I understand the fear that comes with hearing that your aneurysm is considered inoperable. I suddenly dissected in 2015, and it was a nightmare. I wish I had known I had a problem before that, but the fact that you do know means you still have options. Even with a large aneurysm, there may be advanced surgical or interventional options available, especially at high-volume aortic centers.

A good starting point is looking for aortic centers of excellence—places like the Cleveland Clinic, Mayo Clinic, U of M Minneapolis, UCSD La Jolla and other major academic medical centers with dedicated vascular and aortic teams. Some of the most experienced surgeons in the world are there, and they may be able to offer a second opinion, even if your local team considers the surgery too risky.

I know it’s overwhelming to navigate this, but you’re not alone. Keep pushing for answers, ask about endovascular options, and don’t be afraid to seek out a second or even third opinion. You deserve the best care possible. Peace.