The two additional items are the length of my aneurysm at 11.3 cm and the structure of my aortic arch. It is a bovine aortic arch. It is a common anatomical variation of the aortic arch so that wasn’t what led me to my decision. My surgeon has been warning me about the length. At 4.8cm diameter, I am getting close to the size most surgeons would suggest thinking about surgery. For me it was the idea that I am gaining nothing from waiting. The longer I wait, the more I age, impacting recovery. I have so many other things I want to do in my life. I am going on safari next August and I don’t want this hanging over my head. My wife and I want to bike with Backroads in Europe. Time to get on with life.