I went to Mayo Clinic in Jacksonville last July 22nd for a second opinion. I had an ascending aortic aneurysm of 4.3 to 4.7 of the root. I was told by local cardiologist that everything was fine in Dec 23 and Jan 24 regarding LAD etc. However, I had several unexplained symptoms that were getting progressively worse by April. Those including shortness of breath, angina, ankle swelling, persistent dry cough. I thought it must be the aortic aneurysm hence the 2nd opinion. Turns out it was 4.7 ascending and 4.8 at the root, but wasn't what was causing the symptoms. Within hours Mayo doctors determined I had a complex coronary fistula from the RCA and LAD to pulmonary artery fistula with a nest of collaterals, a bronchial artery to pulmonary artery fistula as well as a large aneurysm on the RCA. One week after thatn during an angiogram with possible intervention, they found it was more extensive and found a 100% chronic occlusion of the LAD. All of that got fixed along with the ascending aorta, root and valve. The aortic stuff became emergent during surgery which lasted over 14 hours. Ironically, if it hadn't been for the ascending aortic and root aneurysm, I wouldn't have got the second opinion. The local cardiologist got called out and his excuse was that I had several rare things seen much less in 1 person. The cough was caused by the bronchial to Pulmonary artery fistula and the other stuff was essentially causing congenital heart failure even though my BP and heart rate didn't indicate it. So my point is, there can be other things in addition to an aortic aneurysm.