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one of the most common questions I hear is when do we operate on an aneurysm and theres no simple answer but because every person is different but I think the simplest way to answer that question first of all is we operate when we think that the risk of surgery is less than the risk of having a life-threatening complication from the aneurysm so and depending on where your aneurysm is involved or if your deceptions become an aneurysm depending on mp a turn of how its happened we can predict when its at risk for rupturing and so the good thing the great thing is is that we can offer operations to repair a severely diseased portion of the aorta really really safely in most people and so when you have an aneurysm thats not big enough to operate its often because were balancing it against a risk of surgery thats in the single digits kind of percentage so most aneurysms we can fix with the risk of of death or stroke or heart attack of the surgery at five percent or less and so when