Living with an aortic aneurysm: What's safe and what's risky?

People with aortic aneurysms can often continue their daily routines without major restrictions. Dr. Federico Parodi, a vascular surgeon, advises that staying active benefits heart health. However, some precautions are necessary to prevent complications. An aneurysm forms when the wall of an artery, usually the aorta, weakens and bulges. High blood pressure can make it grow larger over time. For small aneurysms—those 4 cm or smaller—Dr. Parodi states that patients face no activity limits.

Most everyday tasks remain safe, including light gardening, housework, and moderate exercise. Playing golf, tennis, or even having sex pose little risk. Travel is also generally permitted. Yet, activities that push the heart rate too high or cause breathlessness should be avoided. Lifting weights heavier than half a person’s body weight is discouraged as a regular practice.

For larger aneurysms, the rules change. Abdominal aortic aneurysms measuring 5 to 5.5 cm, or thoracic ones between 5.5 and 6 cm, usually require surgery. Managing blood pressure and heart rate remains key to slowing growth and reducing risks. Patients with small aneurysms can maintain an active lifestyle under medical guidance. Monitoring blood pressure and avoiding extreme exertion helps keep the condition stable. Those with larger aneurysms will need surgical intervention to prevent serious health issues.