Aneurysm of the ascending aorta
I'm a 68-year-old male in good health. I take medications for high blood pressure. On 3/1/22 I had a CT calcium scan and the aorta measured 4.4cm. On 9/21/22 I had an echocardiogram and the aorta measured 4.75cm. On 9/16, 2023 I had another echocardiogram and the aorta measured 4.8cm.
My father had an aneurysm of the abdominal aorta and at the age of 60 was operated on successfully in 1986. At the age of 70 (1996) he was operated again for an aneurysm of the abdominal aorta and the operation was not successful.
My paternal grandfather dropped dead at the age of 50. Cause of death was related to heart issues.
My cardiologist said it was good news that my aorta did not dilate significantly (i.e. from 4.75cm to 4.8cm vs. 4.4cm to 4.75cm). I'm going to have an MRA in March and thereafter meet with a cardiothoracic surgeon.
Considering there is a history of aortic aneurysms in the family am I looking at having surgery sooner than later (i.e. this year) or can I monitor the growth until the aorta measures above 5.0cm which seems to be the threshold for operating. Thanks