@moonboy As usual, I agree with @moonboy but as always I highly recommend you find a cardiologist who specializes in aortic diseases, not all of them do and it makes a huge difference. Your aneurysm is on the smaller side and a cardiologist may see you more frequently than a surgeon. Having a very experienced cardiothoracic surgeon is excellent, but remember the surgeon will stop seeing you a bit after surgery (if you ever need one), the cardiologist will follow you up for life, help you control your BP which is the most important factor, and monitor to ensure you don't develop new ones. Aortic disease specialists devote their time researching everything related to aortic diseases, aortic valves, etc. they communicate with each other . To find one usually look at cardiologists and in their bios it will usually describe their interests and focus, look for "aortic diseases", or other similar phrases.

You know you have it and can plan and monitor, not everyone gets that chance!!!

All the best!!!

@moonboy Thank you for your response, I appreciate it. The cardiothoracic surgeon I saw has 35 years experience w open heart surgery and aneurysms, that’s why requested to see him personally. Even though the CTA showed ‘no aneurysm’ the surgeon said I do have a 4 cm one which is why he I am getting it repeated in 6 months. If I had not made the appointment with the Cardiothoracic surgeon myself and had him look at the scan my PCP would have assumed I was ‘fine’ w no repeat tests necessary. I do trust this surgeon as he did my husbands open heart surgery when my husband was 49, every artery blocked and he is now 66 and doing great, however, as much as I trust the surgeon I do plan on getting a 2nd opinion. Thank you!!