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Abdominal Aortic Aneurysm (AAA)

What is an AAA?

The main blood vessel in your body is the aorta (say: a-or-ta). It carries blood from your heart to the rest of your body. It is a long blood vessel that reaches from your chest into your abdomen. The part of the aorta in your abdomen is called the abdominal aorta. It supplies blood to your stomach, pelvis and legs.

An aneurysm (say: an-yur-izm) is a weak area in a blood vessel. If a blood vessel weakens, it starts to swell like a balloon and becomes abnormally large. If the aneurysm grows too large, your aorta may tear or burst.

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What causes an AAA?

The exact cause is currently unknown, but the following risk factors can increase your chances of developing an AAA:
  • High blood pressure
  • Being overweight or obesity
  • Smoking
  • High cholesterol
  • Emphysema

Who gets an AAA?

Aneurysms are more common in older people, especially men over age 60. Your risk of an AAA is higher if you smoke or have high blood pressure. AAA may also run in families.

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What are the symptoms of an AAA?

There are usually no symptoms present as the aneurysm develops. When the aneurysm leaks or tears, you may experience the following:
  • Sudden pain in your abdomen, groin, back, legs or buttocks
  • Nausea and vomiting
  • Abnormal stiffness in your abdominal muscles
  • Swelling or bulging in one area of your abdomen
  • Clammy skin

How can I tell if I have an AAA?

Talk to your doctor if you have a higher risk of an AAA or if you have any of the symptoms. Your doctor may order a test called an ultrasound. An ultrasound provides a picture of your organs by passing sound waves through your body. It can help measure the size of your aorta.

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How is an AAA treated?

If your aneurysm is large or is growing quickly, you will most likely need surgery. If your aneurysm is small, your doctor may just monitor it using ultrasound tests.

It is important to prevent the aneurysm from bursting or tearing. You can help by quitting smoking and by working with your doctor to control your blood pressure and cholesterol.

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Source

Written by familydoctor.org editorial staff.

Abdominal Aortic Aneurysm by GR Upchurch, Jr., M.D. and TA Schaub, M.D. (American Family Physician April 1, 2006, http://www.aafp.org/afp/20060401/1198.html)

Reviewed/Updated: 03/08
Created: 04/06