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The aorta is the main blood vessel that supplies blood to the abdomen, pelvis, and legs. An abdominal aortic aneurysm occurs when an area of the aorta becomes very large or balloons out.
Aneurysm - aortic; AAA
The exact cause of the condition is unknown. Factors that can increase your risk of developing the problem include:
An abdominal aortic aneurysm is most often seen in males over age 60 who have one or more risk factors. The larger the aneurysm, the more likely it is to break open. This can be life-threatening.
Aneurysms can develop slowly over many years, often with no symptoms. Symptoms may come on quickly if the aneurysm expands rapidly, tears open or leaks blood within the wall of the vessel (aortic dissection).
Symptoms of rupture include:
Your doctor will examine your abdomen and feel the pulses in your legs. The doctor may find:
You may have an abdominal aortic aneurysm that is not causing any symptoms. Your doctor may find this problem by doing the following tests:
Any one of these tests may be done when you're having symptoms.
If you have bleeding inside your body from an aortic aneurysm, you will need abdominal aortic aneurysm repair.
If the aneurysm is small and there are no symptoms:
Most of the time, surgery is done if the aneurysm is bigger than 2 inches (5.5 cm) across or growing quickly. The goal is to do surgery before complications develop.
There are two types of surgery:
The outcome is often good if you have surgery to repair the aneurysm before it ruptures.
When an abdominal aortic aneurysm begins to tear or ruptures, it is a medical emergency. Only about 1 in 5 patients survive a ruptured abdominal aneurysm.
Go to the emergency room or call 911 if you have pain in your belly or back that is very bad or does not go away.
To reduce the risk of aneurysms:
People over age 65 who have ever smoked should have a screening ultrasound done once.
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Braverman AC, Thompson RW, Sanchez LA. Diseases of the aorta. In: Bonow RO, Mann DL, Zipes DP, Libby P, eds. Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine. 9th ed. Philadelphia, Pa: Saunders Elsevier; 2011:chap 60.