Jordan Vascular Clinic

Conditions We Treats

Abdominal Aortic Aneurysm (AAA): Symptoms, Diagnosis, Treatment and Follow-Up

An abdominal aortic aneurysm (AAA) is a condition that occurs when the wall of the aorta, the largest artery in the human body, weakens and bulges. This bulge can grow progressively larger over time, and if it ruptures, it can cause life-threatening internal bleeding. AAA is a common condition, and its incidence has been increasing in recent years. In this article, we will explore the symptoms, risk factors, diagnosis, treatment, and follow-up care of AAA.

Symptoms of Abdominal Aortic Aneurysm:


Most people with AAA do not experience any symptoms until the aneurysm ruptures. However, in some cases, people with AAA may experience:

  • Pain in the abdomen, chest, or lower back
  • Pulsating sensation in the abdomen
  • A feeling of fullness after eating a small meal
  • Nausea and vomiting
  • Rapid heart rate
  • Low blood pressure
If you experience these symptoms, seek immediate medical attention.

Risk Factors of Abdominal Aortic Aneurysm: The risk factors for AAA include:

  • Smoking
  • Age: AAA is more common in people over the age of 60
  • Male gender: AAA is more common in men than women
  • High blood pressure
  • High cholesterol
  • Atherosclerosis: a condition in which plaque builds up in the arteries
  • Family history of AAA
Diagnosing Abdominal Aortic Aneurysm:

AAA can be diagnosed using imaging tests such as:

  • Abdominal ultrasound: a non-invasive test that uses sound waves to
    create images of the abdominal aorta
  • Computed tomography (CT) scan: a test that uses X-rays and computer
    technology to create detailed images of the abdominal aorta
  • Magnetic resonance imaging (MRI) scan: a test that uses a magnetic field
    and radio waves to create images of the abdominal aorta
Treatment of Abdominal Aortic Aneurysm:
The treatment for AAA depends on the size and location of the aneurysm and the overall health of the patient. If the aneurysm is small, the doctor may recommend monitoring it regularly through imaging tests. If the aneurysm is large or growing rapidly, the doctor may recommend one of the following treatments:

Endovascular Repair:
Endovascular repair is a minimally invasive procedure that involves inserting a stent graft through a small incision in the groin and threading it up to the site of the aneurysm. The stent graft is then expanded, creating a new pathway for blood flow and sealing off the aneurysm. Endovascular repair is a safer option than open surgery and has a shorter recovery time. However, not all AAA’s are suitable for endovascular repair.

Open Surgery:
Open surgery is a traditional surgical procedure that involves removing the damaged section of the aorta and replacing it with a synthetic graft. Open surgery is more invasive than endovascular repair and requires a longer recovery time. However, it is the preferred treatment option for complex or large AAA’s.

Follow-Up Care:
After undergoing treatment for AAA, follow-up care is crucial to monitor the patient’s condition and prevent future complications. The follow-up care may include:
  • Regular check-ups and imaging tests
  • Medications to control blood pressure and cholesterol levels
  • Lifestyle changes such as quitting smoking, eating a healthy diet, and getting regular exercise

In conclusion, AAA is a serious medical condition that can have life- threatening consequences if left untreated. Early diagnosis and treatment are essential to prevent complications. If you are at risk of AAA or experiencing symptoms, seek immediate medical attention. With proper treatment and follow-up care, people with AAA can live healthy and fulfilling lives.