Endurance exercise after thoracic ascending aorta aneurysm repair in bicuspid aortic valve aortopathy is low risk and is not associated with adverse aortic outcomes in a self-selected population of highly motivated athletes. Because bicuspid aortic valve aortopathy is generally limited to the proximal aorta, these findings may not be generalizable to other thoracic aortic aneurysm disorders. Endurance Exercise Is Low-Risk Following Ascending Aortic Aneurysm Resection in Bicuspid Aortic Valve Aortopathy, Journal of the American College of Cardiology

Moderate intensity exercise is safe and feasible for many thoracic aortic disease patients. Our data confirms that the Borg score may be a useful proxy for exercise intensity.  In this study, we establish a reproducible exercise protocol that can be adapted to create individualized exercise regimens for thoracic aortic dissection patients as part of a care plan to improve long-term cardiovascular health. Safety of exercise for adults with thoracic aortic aneurysms and dissections

Clinically relevant aortic dilatation is common among aging endurance athletes, raising the possibility of vascular remodeling in response to long-term exercise. Longitudinal follow-up is warranted to establish corollary clinical outcomes in this population. Association of Ascending Aortic Dilatation and Long-term Endurance Exercise Among Older Masters-Level Athletes Study finds long-term endurance exercise is associated with enlarged aorta