You need to consult with a cardiologist AND cardiovascular surgeon that specializes in these things. Unless that hospital that is 52 miles from you happens to be Mayo Clinic or Cleveland Clinic, its a moot point. I live in Tallahassee Florida. My only 2 options in north Florida were UF/Shands in Gainesville and Mayo Clinic in Jacksonville. I went to Mayo. I had a CT Scan with Contrast that led to an catheter procedure with possible intervention that wasn't able to address any of my problems but found more which led to a cardiac MRI and open heart surgery. This all happened between Jul 22 and Sep 10, 2024. I was told in January of that year by a local cardiologist at the local Tallahassee hospital to come back in over a year. If I followed his advise, I would have been dead. my ascending aorta was 4.7 and root at 4.8 at the time. However, there were other issues that were flat missed by the local cardiologist. I got a second opinion from a congenital cardiologist at Mayo and she found 3 additional critical things. I was 60 at the time of surgery.