Pulsating Sensation
A noticeable or unusual pulsing sensation in the abdomen may occur with an abdominal aortic aneurysm.
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An aortic aneurysm can remain silent for years until it enlarges or ruptures, causing life-threatening bleeding. Early detection through screening is crucial.
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An aortic aneurysm occurs when a weakened area of the aorta gradually enlarges. It may remain unnoticed for years, but as the aneurysm grows, the risk of rupture and life-threatening internal bleeding increases. Early detection and appropriate monitoring are therefore essential.
Treatment is considered based on the aneurysm’s size, location, rate of growth, symptoms, and overall patient health. Depending on the individual condition, management may include careful surveillance, medical treatment, open surgical repair, or minimally invasive endovascular procedures.
Common Symptoms
Recognizing warning signs early can support timely evaluation and help prevent serious complications.
A noticeable or unusual pulsing sensation in the abdomen may occur with an abdominal aortic aneurysm.
Persistent or sudden severe abdominal discomfort may require prompt medical evaluation.
Unexplained or persistent lower or middle back pain may occur with an abdominal or thoracic aneurysm.
Shortness of breath or breathing discomfort may occur when a thoracic aneurysm affects structures in the chest.
Pressure on structures near the vocal cords may contribute to voice changes or persistent hoarseness.
Reduced blood flow or related complications may cause discomfort, weakness, or numbness affecting the legs.
Several conditions and risk factors can weaken the aortic wall and contribute to aneurysm formation. Understanding these factors can help identify individuals who may benefit from closer monitoring and timely evaluation.
Plaque buildup weakens the aortic wall and can contribute to aneurysm formation.
Chronic hypertension places ongoing strain on the aortic wall and can increase the risk of aneurysm formation.
Marfan syndrome, Ehlers-Danlos syndrome and a family history of aneurysms can increase risk.
Aortic aneurysms are more common in men over 60 years of age.
Smoking is a major risk factor associated with aortic aneurysm formation and progression.
Severe chest or abdominal injury can damage the aorta and contribute to aneurysm formation.
Most aortic aneurysms are detected incidentally during imaging for other conditions. Regular screening is recommended for high-risk groups, particularly men over 65 with a history of smoking.
A first-line test used to detect abdominal aortic aneurysms and assess the aorta through non-invasive imaging.
Provides detailed information about aneurysm size, shape and involvement of branch vessels, helping guide surgical or endovascular repair planning.
Aortic Diagnostic Assessment
Provides a non-invasive imaging alternative for evaluating the aorta and surrounding vascular structures.
A clinical examination may help identify a pulsating mass in the abdomen and support further evaluation when an aneurysm is suspected.
Surgical and minimally invasive methods tailored to you, based on the aneurysm location, size, anatomy and overall clinical condition.
Open surgical repair involves replacing the weakened section of the aorta with a synthetic graft through an abdominal or chest incision. It provides a direct and durable repair of the affected aortic segment and may be used for complex aneurysms where an open approach is considered appropriate.
EVAR is a minimally invasive procedure in which a stent-graft is inserted through the groin arteries and positioned inside the aorta to reinforce the weakened section. The graft creates a protected channel for blood flow and reduces pressure on the aneurysm wall.
TEVAR is an endovascular stent-graft procedure used for suitable thoracic aortic aneurysms. The stent-graft is guided through the blood vessels and positioned within the thoracic aorta to reinforce the weakened area and redirect blood flow through the graft.
Hybrid procedures combine open and endovascular techniques for selected complex aneurysms. The approach is planned according to the location of the aneurysm, its relationship with branch vessels and the patient's overall clinical condition, allowing different techniques to be used as part of one treatment strategy.
Medical management is used for selected small aneurysms that do not currently require repair. It focuses on controlling blood pressure and modifying relevant lifestyle risks, together with regular clinical review and imaging to monitor aneurysm size and determine whether further treatment becomes necessary.
If you have been diagnosed with an aortic aneurysm or have concerns about symptoms or risk factors, schedule a vascular consultation for detailed assessment and discussion of the appropriate treatment approach.
Discuss your diagnosis, symptoms and concerns during a focused vascular consultation.
Your clinical findings and available imaging can be reviewed to understand the aneurysm and its characteristics.
Suitable surgical, endovascular or medical management options can be discussed based on your assessment.
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