@ktracy515
Hello.....I'm sure you know the size you describe didn't start at zero. I believe a "normal" ascending aorta can be around 3.4cm for a male your age. The size for concern and surgical intervention is 5-5.5cm, depending on the growth rate. There are criteria for intervention sooner, that is governed by growth rate and individual patient condition. Mine started around 3.8cm almost 8 years ago, and it is now at 4.5cm, probably primarily due to blood pressure issues, and afib. Early BP control is essential for long term growth control. Hope this gives you some more perspective. Best of luck with your treatment going forward!!