Aortic aneurysm - abdominal, thoracic symptoms and treatment: "What are the common symptoms and complications of aortic aneurysm?"
What is the natural history of abdominal aortic aneurysms?
The natural history of abdominal aortic aneurysms depends on their size. Rupture of aneurysms is uncommon when they are less than 5 cm wide. Rupture is far more common in aneurysms that are over 6 cm wide. Surgical repair is therefore usually recommended for all aneurysms over 6 cm wide. Elective repair is also generally recommended for aneurysms between 4 and 6 cm in patients who are good surgical risks.
What are the complications with an abdominal aortic aneurysm?
Rupture is a feared problem. Half of all persons with untreated abdominal aortic aneurysms die of rupture within 5 years. Abdominal aortic aneurysms are the 13th leading cause of death in the U.S. Peripheral embolization of clot within the aneurysm can occur when a piece of clot comes loose and travels further out in the arterial system. This clot fragment can lodge in a smaller artery and block the flow of blood. Infection of aneurysms can occur from turbulent blood flow from the rough inner surface. Spontaneous blockage of the aorta can also occur.


