I too have an aortic ascending aneurysm.
While at a recent emergency room visit for another issue I was informed that my aneurysm had a tear in it and “we are going to have to send you to a trauma center for emergency surgery”.
So once I got to the trauma center they immediately looked at it and said “you are going to have to come back to the hospital for surgery but right now it isn’t bleeding so we feel safe to discharge you and you need to see your cardiovascular surgeon ASAP.”

That surgeon was perturbed that I even bothered going to see him and made light of it during the whole time I was there.

“ is it possible that it could burst?” I said and he said “it could” but after a sonogram he said “see you next year “ and walked away like I was inconveniencing him. He downplayed the whole thing. 2 doctors had scanned it and acknowledged that it was torn and this guy said “see you next year “ Now I don’t trust him.