Q. Is surgery needed to correct an aortic aneurysm of size 4. 9 cm?

Answered by
Dr. Muhammad Zohaib Siddiq
and medically reviewed by Dr. Sneha Kannan
This is a premium question & answer published on Apr 29, 2021

Hello doctor,

I am a 67-year-old male with a 4.9 cm heart aneurysm. I was advised to test every year, and also, no one had died in my family because of that. Can you let me know if I need surgery to correct it?



Welcome to

Can you please tell me what do you mean by a heart aneurysm? Is it an aortic aneurysm?

If there is no family history of aortic aneurysm or dissection, then only serial echocardiographies are needed. Once it is 5.5 cm or more, then surgery may be indicated. If you do not have familial or connective tissue disease, 4.9 cm will not cause any harm, but to be on the safer side, avoid lifting heavy-weight objects and doing heavy exertion.


Thank you doctor for your opinion.



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If you have any query regarding heart-related issues, management of doses of cardiac medicines, risk factors reduction strategies, such as blood pressure, diabetes mellitus, cholesterol issues, ECG (electrocardiogram), echocardiography report interpretation, angiography, angioplasty, pacemaker, ICD (implantable cardioverter defibrillator), CRT (cathode ray tube), and newer developments in cardiac patient's care, you can consult me anytime.

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