@jimboesq I’m assuming when you say stenosis, your AA is ascending and not descending/abdominal. It makes a big difference where the aneurysm is located. For ascending you would need a cardiothoracic surgeon as the only solution (for now) is OH, for descending thoracic or abdominal there are other options. In any case at 4.0 cm you are far from the critical zone, closer to 5.0, there is a rate of growth and that would be one of the things a specialized cardiologist (aortic disease specialist) would follow. Periodically CT scans would help determine the rate of growth. There are no medications that would reverse the dilation but some people have very stable dilation size for many years never reaching repair zone.

The main variable to control is your BP, high BP is the main enemy of an aneurysm. Your cardiologist will work with you to keep it under control.

Again you are far from needing surgery but maintaining a healthy body is the best you can do in case you ever do. The healthier you are the easier the surgery and recovery will go.

As a reference, mine was 5.2cm when found (ascending) I was in very good shape, I had surgery 2 months later, surgery is tough but went as smooth as it could have gone.

You know you have it and that’s already on your side, you can find the right care and plan

All the best