He sees a aortic surgeon at Mayo. The 5.0 consensus (Nov 2022) included studies of patients that were not aware and not “managed.” Kaiser almost immediately came out with well done studies showing that “managed patients” without risk factors like vasculitis, other connective tissue disorders, etc., could go well beyond the 5.0 cm number with minimal risk.
My husband’s surgeon feels that given the stability of my husband’s aneurysm (1 mm increase since Jan 2021 and 6 mm increase from 2007 to 2021) that if he behaves himself (keeps bp low, , no lifting) he may never need surgery - die of something else; he is 81 but in good health. When and if his aneurysm gets to 5.5 that will be a different conversation.