- A Visual Guide to Heart Disease
- Medical Illustrations of the Heart Image Collection
- Take the Heart Disease Quiz!
- Patient Comments: Abdominal Aortic Aneurysm - Experience
- Patient Comments: Abdominal Aortic Aneurysm - Symptoms
- Patient Comments: Abdominal Aortic Aneurysm - Surgery Experience
- Patient Comments: Abdominal Aortic Aneurysm - Rupture
- Abdominal aortic aneurysm facts
- What is an aneurysm?
- What is an aortic aneurysm?
- What is the thoracic and abdominal aorta?
- Where do aortic aneurysms tend to develop?
- What shape are most aortic aneurysms?
- What is inside an aortic aneurysm?
- Who is most likely to have an abdominal aortic aneurysm?
- What are risk factors for aortic aneurysms?
- What is the most common cause of aortic aneurysms?
- What are other causes of aortic aneurysms?
- What are the symptoms of an abdominal aortic aneurysm?
- How is an abdominal aortic aneurysm diagnosed clinically?
- What tests help in the diagnosis of an abdominal aortic aneurysm?
- What is the natural history of abdominal aortic aneurysms?
- What are the complications with an abdominal aortic aneurysm?
- How are abdominal aortic aneurysms repaired?
- What is done if an abdominal aortic aneurysm threatens to rupture?
- What is the medical management (nonsurgical management) of abdominal aortic aneurysm?
What are the complications with an abdominal aortic aneurysm?
An aortic aneurysm can leak causing an increase in the patient's abdominal pain. When pain is felt in the back or flank, the symptoms can be misdiagnosed as a kidney stone. If the diagnosis is missed or if the patient does not present for care, the aneurysm can burst or rupture causing potential catastrophe and death.
Since aneurysms are associated with atherosclerosis and plaque along the aortic wall and since aneurysms often contain a clot, debris can travel, or embolize, into smaller blood vessels and cause symptoms due to decreased blood flow.
Aneurysms can rarely become infected.
How are abdominal aortic aneurysms repaired?
Each patient is different and the decision to repair an abdominal aortic aneurysm depends upon the size of the aneurysm, the age of the patient, underlying medical conditions, and life expectancy.
There are two approaches for repair:
The first is the traditional surgical approach. A large incision is made in the abdomen, the aortic aneurysm is identified and cut out or resected. The missing piece of aorta is replaced with a synthetic graft.
The second approach is placing an endovascular graft. A catheter or tube is threaded into the femoral artery in the groin and the graft is positioned so that it spans and sits inside the aneurysm and protects it from expanding (endovascular: endo = inside + vascular = blood vessel).
The approach to treatment needs to be tailored to the individual patient and very much depends upon the location, size, and shape of the aneurysm.