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Doctor insights on: Symptoms Of An Abdominal Aortic Aneurysm

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What are the symptoms of an abdominal aortic aneurysm?

What are the symptoms of an abdominal aortic aneurysm?

Usually none: Most of AAA have no symptoms and discovered by routine physical exams, screening ultrasound or incidental finding on ct scans. If symptomatic then usually pain in upper to mid abdomen sometimes radiating to the back or just back pain , rupture with severe pain and shock , sometimes present as clots traveling to the legs with acute pain or blue toes. Rare type is infected or inflammatory /fever. ...Read more

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Dr. Mario Matos-Cruz
941 doctors shared insights

Aortic Aneurysm (Definition)

"Aneurysm" has scary implications for many people. It just means an enlargement of an artery. The problem is that when arteries (including the aorta) get too large, their walls become weak and prone to tear (dissection) or rupture. If this happens in the aorta it can be a catastrophe. Management of aortic aneurysms depends on where it is, how big, whether it's growing, ...Read more


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What are signs and symptoms of an abdominal aortic aneurysm?

What are signs and symptoms of an abdominal aortic aneurysm?

Silent until rupture: Aaas are typically silent- no signs or symptoms until it starts to rupture. If you are thin and have a large aneurysm you may see it pulsating above the belly button. If you are male, >65yrs, and have ever smoked, an ultrasound can diagnose it. If you are female, a family history, age >65, and having ever smoked are the criteria for a screening ultrasound. ...Read more

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What are symptoms of an aortic aneurysm?

What are symptoms of an aortic aneurysm?

Often there are none: Over 75% of aortic aneurysms are found while tests are performed for another reason. Other aneurysms are found after a thoughtful physical exam raises a suspicion for AAA and a subsequent ultrasound identifies the problem. Screening exam programs are very effective, non-invasive, and inexpensive. ...Read more

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Is chest pain an initial symptom of thoracic aortic aneurysm?

Is chest pain an initial symptom of thoracic aortic aneurysm?

Yes: Chest pain is the most common presenting symptom for thoracic aortic aneurysm. However, in some patients, the initial symptom may be rupture presenting as sudden death. ...Read more

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What is an abdominal aortic aneurysm?

What is an abdominal aortic aneurysm?

Bulging Aorta: Ballooning of the abdominal portion of the aorta. The aorta is one of the major arteries that carry blood from your heart to the rest of the body. Sometimes patients with high blood pressure, cholesterol plaque formation can have weakened wall of this big artery, causing it to bulge ( balloon out) like when one blow air into a balloon; if ruptured, instant death can occur. ...Read more

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What is an abdominal aortic aneurysm?

What is an abdominal aortic aneurysm?

Ballooning : An aneurysm is diffuse or focal dilatation of an artery like the abdominal aorta of more than 1.5 times its normal size. For abdominal aortic aneurysm generally anything above 3 cm in 50-60yr old patient. They typically don't need fixed unless above 5 cm in females and 5.5 cm in males or rapidly enlarging or causing symptoms. ...Read more

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What are normal symptoms of an aortic aneurysm repair?

What are normal symptoms of an aortic aneurysm repair?

See below: The repair is an operation so you might have pain from the incision. Now if there are complications, you could get many different symptoms depending on the type of complication. The aneurysm itself could cause pain or an abnormal pulsation in the abdomen but most commonly are discover by an x-ray for something else or at the time of a routine physical examination. ...Read more

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What can cause an abdominal aortic aneurysm?

Atherosclerosis: Atherosclerosis induced cystic medial necrosis is the most common cause of abdominal aortic aneurysms. ...Read more

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What are the symptoms of an aortic aneurysm?

What are the symptoms of an aortic aneurysm?

Typically non: Most of them are asymptomatic. Abdominal aortic aneurysm can cause mid abdominal and back pain sometimes. Severe pain and fever if infected. Unusually emboli or clots to legs and ischemia. Thoracic aortic aneurysm may cause back pain, or compression on structure like esophagous(difficulty swallowing), trachea or bronchus( difficulty breathing) or nerves like recurrent laryngeal nerve( horesness). ...Read more

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What is an infrarenal abdominal aortic aneurysm?

What is an infrarenal abdominal aortic aneurysm?

Lower part: Infra renal aneurysm means it is involving the lower part of the abdominal aorta after it gives rise to the blood vessels supplying the kidneys. Infra renal aneurysms can be generally treated with a stent graft which is implanted going through the artery in the groin. It is thus possible that a major surgery involving opening the abdomen can be avoided. ...Read more

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An abdominal aortic aneurysm is significant because?

An abdominal aortic aneurysm is significant because?

AAA>5cm may rapture : Abdominal aortic aneurysm (AAA) is considered a surgical disease if it is > 5 cm. At that point the risk of rupture is greater then the risk of surgical complications. These days many cases are done via endovascular repair instead of open surgery. ...Read more

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What sort of problem is an abdominal aortic aneurysm?

What sort of problem is an abdominal aortic aneurysm?

Dilation: It is a swelling or dilation of a vessel due to weakness in the wall of the vessel (aorta). The concern is the risk for rupture, which can cause severe pain and massive bleeding. ...Read more

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What are the signs are of an abdominal aortic aneurysm?

Signs of AAA: There frequently are no signs at all which is why screening ultrasound programs exist to pick them up in higher risk individuals. Some people my report feeling their "heartbeat in their belly". Unusual belly or back pain may also be symptoms. ...Read more

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What type of doctor treats an abdominal aortic aneurysm?

Who fixes AAA: A vascular surgeon can offer endovascular or open repair depending on what's best for the person. ...Read more

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Can falling cause an abdominal aortic aneurysm?

No: Trauma such as falling does not cause aaas. They typically form slowly over time due to inflammation in the wall of the aorta. Risk factors are age >65, smoking, male gender and a family history. Interestingly high speed motor vehicle accidents can cause a tear in the thoracic aorta. These are called dissections. ...Read more

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What is the pathophysiology of abdominal aortic aneurysm?

Inflammatory process: The exact mechanism for AAA formation is not known. There are several etiologies/theories. The most widely accepted is that aaas form due to an inflammatory process in the wall of the aorta associated with atherosclerosis. Inflammatory cells are thought to degrade structural proteins (such as elastin) in the wall of the aorta, weakening it and allowing for aneurysm formation. ...Read more

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What is worse thoracic or abdominal aortic aneurysm ?

What is worse thoracic or abdominal aortic aneurysm ?

Size & location: This really depends on size of the aneurysm , the bigger one especially above 5-5.5 cm will have higher risk of rupture and death. Also location so if aneurysm involves major branches to brain or arteries to kidneys or intestinal arteries all this will make the surgical repair more risky. ...Read more

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What causes abdominal aortic aneurysm?

Medial necrosis: Cystic medial necrosis induced by arteriosclerotic obliteration of the vasa vasorum of the aorta is the most common cause. ...Read more

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Can ultrasound miss an abdominal aortic aneurysm?

Can ultrasound miss an abdominal aortic aneurysm?

Not likely: Some are not ideal if too much gas. Or poor prep or obesity , but usually are repeated if technical issue. The infra renal aorta and iliacs are well visualized in most. ...Read more

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Aorta (Definition)

The aorta is the largest artery in the body, leaving directly from the left ventricle of the heart to supply blood to the entire body. It is made of elastic tissue layers called "intima" and is subject to damage by high blood pressure, smoking, cholesterol, ...Read more


Dr. Oliver Aalami
227 doctors shared insights

Aortic Aneurysm (Abdomen) (Definition)

The dangerous condition where a portion of the wall of the aorta, the largest artery in the body, becomes thin and bulges out. This puts the aorta at risk of bursting, which is frequently fatal. ...Read more