I was first diagnosed with a 4.4 thoracic aneurysm in 2009. It has grown slowly and reached 4.6 in 2016. I am told this could be due to differences in measurement and it may not have changed at all. I currently travel once a year to the Cleveland Clinic in Ohio. I am considering switching to Marshfield Clinic as it is much closer. When I was first diagnosed, I asked my doctor right out if the aneurysm could remain stable and I would never need surgery. He shook his head no. He said I would definitely need surgery at some point. Years have passed since then and now I am not sure what he thinks. I am also unclear when he plans to operate. Sometimes he says probably 5.0 but has also mentioned 5.5. Cleveland is over 8 hours from where I live so I only connect once a year. The remainder of the year I am on my own. I have actually begun to relax and accept my condition until recently. This month my oldest brother was diagnosed with the same type of aneurysm. We are awaiting further testing. A few days ago my closest friend underwent surgery for the same aneurysm at 4.6. He made it through the surgery but died the day he was moved from ICU. Once again I find myself feeling very alone and stressed. Seems like I am always getting pains in my chest and have a deep hoarse cough most of the time. Is this normal or just because I am stressing? So thrilled to find this thread.