@brentshine
So everything that moonboy and Houston said. Imho, you are, like me, a vasculopath. No worries, it just means probably susceptible blood vessels. Could be good- very slowly progressing aneurysms- or not good- rapidly developing and changing aneurysms.
The point is- you need care from true experts, at centers dedicated to aneurysm treatment. The better the center, the better the outcome. If you’re not sure who is excellent near you, just say where you are and ask on the board.
I’m an aata at 4.6 and à dissected celiac aneurysm too small to worry about. Will get my 6 month check (CTa and cardiac ultrasound on Dec 8) at MGH. My excellent cardiologist said no valsalva maneuvers ever. Exercise is probably okay if you can breathe and sing(!) while doing it.