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What happens when you have an aortic aneurysm? An abdominal aortic aneurysm (AAA) is a swelling (aneurysm) of the aorta – the main blood vessel that leads away from the heart, down through the abdomen to the rest of the body. If a large aneurysm bursts, it causes huge internal bleeding and is usually fatal. The bulging occurs when the wall of the aorta weakens.
How common is aortic aneurysm? Aortic aneurysms have an incidence of 5-10 cases per 100,000 in the United States, and are more common in men over the age of 60. Though aortic aneurysms do not directly cause death, complications arising from an aneurysm – such as dissection or rupture – cause approximately 15,000 deaths annually.
What size aortic aneurysm requires surgery? The need for surgical treatment is related to size, which is linked to risk of rupture (see table Abdominal Aortic Aneurysm Size and Rupture Risk). Elective repair should be considered for aneurysms > 5.0 to 5.5 cm.
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