I understand your worries. And…September is next month; that’s so soon! If your aneurysm isn’t growing quickly, it seems that you at least have time for an amazing vacation in Italy. Whether or not you decide to schedule surgery soon, it is not an emergency and doesn’t need to happen within 4-6 weeks. Right? Gotta live and enjoy life now. Have you asked the doctors if there’s additional risk for you to travel and enjoy a relaxing time with your wife? Another way to view this is more time to take care of your overall heart and body health to prepare you for the possible eventuality of surgery- whether it’s within the coming months or years. My doctor advised me to focus on this.

The issue of length is very interesting and I am curious about what each of the doctors would say about it. I am in Chicago and found this resource very helpful. If you want a 4th opinion or fast answers to current questions, they reply within a day or two and connect you with a knowledgeable cardio nurse: https://www.nm.org/conditions-and-care-areas/heart-and-vascular/appointments