When/if to have surgery is the most concerning thing for me with this diagnosis. Mine is around 4.5cm and the diagnosis was two years ago. The growth so far, if any, is in the margin of error. So I've had measurements of 4.3, 4.5 and 4.7. Hopefully it won't grow, but I can't help thinking about what I'll do if it does. I'm 64.

I had Polymyalgia Rheumatica right before my diagnosis. (The testing to figure out what was going on lead to the diagnosis. 600 CAC and a 4.5 cm aneurysm. Life turning point.) I was pretty fit at the time, running 15-20 miles a week, but was sidelined for a few months. I've not been able to recover my fitness level in the two years since. Maybe it's just fear of over exerting, but I don't think so. I sometimes go harder than I think I really should. So the prospect of starting over mid-70s is scary.