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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Can A 4.4cm Aortic Aneurysm, Causing Occasional Chest Pain, Get Bigger In Size?

a few days ago, i developed a pain in my chest, just to my left of center, on the edge of left breast so spreak. it comes and goes. if i press on my chest in the area hard it pains in the area again. it is somewhat a sharp pain. i am told i have an aortic anyouism. last check it was at 4.4 cm. this worries me, coiuld it be getting larger?
Mon, 17 Dec 2018
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General & Family Physician,  's  Response
Hi,

An aortic aneurysm is not very rare in elderly patients. Most of them increase with time through the speed varies. So it is important to do regular follow up. Generally, it increases 1 to 3 mm per year. For an aneurysm less then 5.5 cm in male, no surgery is needed only regular follow up. If size is more then 5.5 cm in male or 5 in females then surgery is done to repair as the risk of rupture becomes high.

Regarding your problem, you just need to follow it annually. Sometimes if the pain is severe surgery may be considered even if less then 5.5 cm.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Mahboob Ur Rahman,
General & Family Physician
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Can A 4.4cm Aortic Aneurysm, Causing Occasional Chest Pain, Get Bigger In Size?

Hi, An aortic aneurysm is not very rare in elderly patients. Most of them increase with time through the speed varies. So it is important to do regular follow up. Generally, it increases 1 to 3 mm per year. For an aneurysm less then 5.5 cm in male, no surgery is needed only regular follow up. If size is more then 5.5 cm in male or 5 in females then surgery is done to repair as the risk of rupture becomes high. Regarding your problem, you just need to follow it annually. Sometimes if the pain is severe surgery may be considered even if less then 5.5 cm. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Mahboob Ur Rahman, General & Family Physician