Ascending aortic aneurysm

Has anyone lived with an aneurysm the size of mine without needing surgery or had the less invasive endovascular surgery done on it.
My primary care dr said surgery could be done through a vein in the leg.
I also have breast implants.
I am a mess worrying about this.

At 4.1 you are still far from the critical size, it starts getting critical as it approaches 5.0. Unfortunately, currently the only effective way to repair an ascending aortic aneurysm is through open heart surgery. I had mine repaired 5 years ago at 5.2 cm.

The good news is that you know you have it and that is a blessing, you can monitor it and make decisions, a lot of people don't get that opportunity. My recommendation is to find a cardiologist who is an expert in aortic diseases, not all of them are and it does make a big difference. The Dr will help you through the process, frequency of monitoring, medicine regiment and feedback as to exercise and mainly controlling your BP. Your systolic looks good but the diastolic looks high. High BP is the main enemy of AAs.

You should also find the best thoracic surgeon you can find, someone who has done lots of these surgeries, and at least get seen by him/her, he/she will also give you their recommendations and frequency of monitoring.

Keep yourself healthy, stay active, exercise (with the limitations given by the cardiologist), it is important to keep your body at its best.

I know it is hard not to think about this and control the anxiety, exercise will help, a good cardiologist will also help you with answers and if needed think about a good therapist that can also help you.

I wish you the best!! I know it is hard but try to stay positive

Thank you. I am hoping that maybe it never grows to 5.0. Maybe by then they will have endoscopy treatments for it.
I know it is wishful thinking.
I will tell my Dr my blood presser number is a little high. I was able to get it down by taking a walk.

As Houston13 stated, the #1 enemy of aortic aneurysms is high blood pressure. The #2 is obstructive sleep apnea. It would be a good idea to make sure you don't have that going on.

Thank you. I do t snore much but will mention this to my dr. Should I make an appointment with cardiac thoracic surgeon now even though it is just 4.1-4.2??

Why is obstructive sleep apnea #2?

From the University of Michigan Medicine:
https://www.michiganmedicine.org/health-lab/dos-and-donts-thoracic-aortic-aneurysm-patients

I believe the statistics are that aneurysms grow at that rate of about 1 mm per year, but can often plateau and stay unchanged for some period of time. So, based upon those statistics, and the current standard of surgical intervention not being hit until at least 5.0 cm, you're looking at a decade before you would need surgery (absent some genetic abnormality, like Marfans).

Here is a link to Mayo explaining sleep apnea.
https://www.mayoclinic.org/diseases-conditions/sleep-apnea/symptoms-causes/syc-20377631
It is one of the contributing factors to Thoracic aortic aneurysms.

The article talks about sleep apnea, in general, but nothing about a specific link to aortic aneurysm.