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7111
§ 4.104 Schedule of ratings—cardiovascular system.

Large artery aneurysm

A bulge in the wall of a large artery that may rupture or block blood flow.

What the rating means

VA rates a large artery aneurysm under Diagnostic Code 7111. There are two stages to the rating.

Before or during surgery, the rating is 100% if you have symptoms related to the aneurysm, or for the entire period starting on the date a physician recommends surgical correction and continuing for six months after you are discharged from inpatient hospitalization for that surgery.

After surgery, VA no longer rates the condition under this code. Instead, it is evaluated under Diagnostic Code 7114, which covers peripheral arterial disease. Six months after your discharge from inpatient hospitalization, VA requires a mandatory examination to set the appropriate rating going forward. Any change in your rating based on that examination or any later examination is subject to the adjustment protections in 38 CFR § 3.105(e).

Evidence that helps

Before or during the surgical period, evidence that supports the 100% rating includes medical records documenting that you have symptoms from the aneurysm, or a physician's written recommendation for surgical correction and hospital records confirming the date of inpatient admission and the date of discharge from that surgery.

Symptoms linked to the aneurysm — such as pain, pulsating sensations, or other complaints your doctor has recorded — help establish that the condition is symptomatic. Operative reports, discharge summaries, and admission and discharge dates are key records for defining the six-month post-surgery rating period.

After the six-month period ends, the evidence that matters shifts to what is needed for a peripheral arterial disease rating under Diagnostic Code 7114. At the mandatory VA examination following that period, records showing your current vascular function, circulation findings, and any ongoing symptoms will be relevant to that separate evaluation.

Secondary conditions

Conditions that are often caused or made worse by this one. If you have any of these, they may be claimable as secondary service connection.