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Strong Heart and Vascular Center

Division of Vascular Surgery

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Abdominal Aortic Aneurysm

What is an Abdominal Aortic Aneurysm?

An abdominal aortic aneurysm (AAA) is caused by a weakening of the aortic wall. Over time, blood flow can cause the weak portion of the vessel to “balloon” or bulge. AAA occurs in the abdominal section of the aorta, the main blood vessel that carries blood away from the heart. Aneurysms can rupture, causing internal bleeding if not treated.

Learn more about AAA

Symptoms of AAA

Most people with AAA do not feel any symptoms. Symptoms may include:

  • A rhythmic, pulsating feeling in the abdomen - much like a heartbeat

  • A deep, steady pain in the abdomen or lower back (pain may also be intermittent)

  • Severe, sudden abdominal or back pain, which may indicate imminent rupture

If you are experiencing symptoms like these, it is important for you to see your doctor.

Diagnosing AAA

Imaging tests are used to diagnose AAA. Often, aneurysms are detected when an imaging test is performed for an unrelated condition. Tests include:

Treatment Options

Your will doctor work with you to develop a treatment plan that fits your needs. Treatment options for AAA depend on the size of the aneurysm, your overall health and the functioning of your heart, kidneys and lungs.

If you have an aneurysm that is smaller than 2 inches in diameter and does not cause any symptoms, it may be monitored regularly by your physician. Usually, this involves having an ultrasound or CT test every 6 months to check for enlargement.

Your physician may recommend surgery if your aneurysm is larger than 2 inches in diameter or causes symptoms. The following procedures are used to repair AAA:

The Division of Vascular Surgery at the Strong Heart and Vascular Center is a leader in the development of endovascular stent grafts for treating aneurysms.