5-5.5cm: It depends on your specific circumstances, but that's usually the answer. Here are the official societal guidelines. See page e320. http://circ.ahajournals.org/content/121/13/e266.full.pdf+html.
Answered 6/27/2018
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At around 5cm: It needs to be followed up with ultrasound every 6 months. When it grows too fast or has reached 5cm then it needs to be considered for repair
Answered 6/22/2018
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