Aortic Aneurysm Quiz
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Lower back pain
Abdominal pain
Chest pain
Dry cough
Shortness of breath
Coughing up blood
Coughing
Coughing up mucus
Upper back pain
Lower left abdominal pain
Lower abdominal pain
Not seeing your symptoms? No worries!
What is Aortic Aneurysm?
Aortic aneurysms are balloon-like enlargements in the major vessel that supplies blood to the body (aorta). They can rupture and bleed, which can be life-threatening. Aneurysms can develop anywhere along the aorta, but are most commonly in the lower portion of the aorta. Common causes include high blood pressure, fat buildup in the artery, infections, trauma, or blood vessel diseases.
Typical Symptoms of Aortic Aneurysm
- Producing phlegm that contains blood
- Throbbing lump in the abdomen
- Chest pain
- Hoarse or husky voice
- Producing phlegm
- History of high blood pressure
- Back pain or discomfort
- Stomach or abdominal pain
Diagnostic Questions for Aortic Aneurysm
Your doctor may ask these questions to check for this disease:
- Are you producing phlegm that contains blood?
- Can you feel a pulse near your belly button?
- Are you experiencing chest pain?
- Do you have a hoarse or husky voice?
- Are you producing phlegm?
Treatment of Aortic Aneurysm
Treatment depends on the size and the rate at which the aneurysm is growing. Treatment can range from watchful waiting to emergency surgery in life-threatening cases.
Reviewed By:
Unnati Patel, MD, MSc (Family Medicine)
Dr.Patel serves as Center Medical Director and a Primary Care Physician at Oak Street Health in Arizona. She graduated from the Zhejiang University School of Medicine prior to working in clinical research focused on preventive medicine at the University of Illinois and the University of Nevada. Dr. Patel earned her MSc in Global Health from Georgetown University, during which she worked with the WHO in Sierra Leone and Save the Children in Washington, D.C. She went on to complete her Family Medicine residency in Chicago at Norwegian American Hospital before completing a fellowship in Leadership in Value-based Care in conjunction with the Northwestern University Kellogg School of Management, where she earned her MBA. Dr. Patel’s interests include health tech and teaching medical students and she currently serves as Clinical Associate Professor at the University of Arizona School of Medicine.
Tatsuya Shiraishi, MD (Cardiology)
Dr. Shiraishi graduated from the Kyoto University School of Medicine. He worked as a cardiologist at Edogawa Hospital, and after joining Ubie, he became the Director of East Nihonbashi Internal Medicine Clinic.
Content updated on Jul 19, 2024
Following the Medical Content Editorial Policy
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People with similar symptoms also use Ubie's symptom checker to find possible causes
- Have chest pain
- Hoarse voice
- Nausea
- Phlegm
- Chest pain on left side
- Weight loss
- Sore throat
- Right side chest pain
- Sputum
- Upset stomach
- Scratchy throat
- Chest pain all over
- Stomach ache
- Queasy
- Yellow or green sputum
See full list
Symptoms Related to Aortic Aneurysm
Diseases Related to Aortic Aneurysm
FAQs
Q.
Is it an Aortic Aneurysm? Why Your Aorta is Dilating and the Medically Approved Next Steps
A.
A dilated aorta can be an aortic aneurysm that is not always immediately dangerous but always needs medical evaluation, most often due to wall weakening from high blood pressure, atherosclerosis, smoking, age, genetic disorders, or a bicuspid aortic valve, and it often has no symptoms. Medically approved next steps include risk based imaging surveillance, strict blood pressure and cholesterol control, smoking cessation, activity guidance, and considering endovascular or open surgical repair when size or growth thresholds are met; seek emergency care for sudden severe chest, back, or abdominal pain, fainting, or signs of shock. There are several factors to consider that could change your next steps; see the complete details below.
References:
* Kuivaniemi H, Kouchi K, Shiang T, Kuivaniemi H. Etiology of Aortic Aneurysm. J Vasc Surg. 2024 Mar 29:S0741-5214(24)00020-0. doi: 10.1016/j.jvs.2023.10.046. Epub ahead of print. PMID: 38555246.
* Isselbacher EM, Preventza O, Gray HM, et al. 2022 ACC/AHA Guideline for the Diagnosis and Management of Aortic Disease: A Report of the American Heart Association/American College of Cardiology Joint Committee on Clinical Practice Guidelines. J Am Coll Cardiol. 2022 Oct 4;80(14):e223-e380. doi: 10.1016/j.jacc.2022.08.003. Epub 2022 Sep 1. PMID: 36170942.
* Schermerhorn ML, Schiro BJ, Soden PA. Imaging of aortic aneurysms. J Cardiovasc Comput Tomogr. 2021 Mar-Apr;15(2):93-100. doi: 10.1016/j.jcct.2020.08.002. Epub 2020 Aug 11. PMID: 32800662.
* Al-Saadi R, Maatouk A, Ybarra N, et al. Medical Management of Aortic Aneurysms and Dissections: An Update. Curr Probl Cardiol. 2023 Jul;48(7):101755. doi: 10.1016/j.cpcardiol.2023.101755. Epub 2023 May 19. PMID: 37210196.
* Ma F, Zhang P, Li X, Li H. Current state of prognostic prediction in aortic aneurysms. J Cardiovasc Surg (Torino). 2023 Apr;64(2):107-116. doi: 10.23736/S0021-9509.23.12562-4. Epub 2023 Mar 10. PMID: 36896944.
Q.
Aorta Fears? Why Your Aorta is At Risk & Medically Approved Next Steps
A.
Your aorta is at risk when high blood pressure, smoking, aging, high cholesterol, or family history weaken its wall, and recognizing symptoms like deep chest or back pain or a sudden tearing pain can be lifesaving. There are several factors to consider, and medically approved next steps include controlling blood pressure, quitting smoking, safe exercise, cholesterol and weight management, and targeted screening or imaging such as ultrasound for men 65 to 75 who have ever smoked. See the complete guidance below to understand your personal risk, when monitoring or surgery is recommended, and the red flags that need emergency care.
References:
* Larsson E, Svensson P, Björck M, Hultgren R. Risk factors for aortic aneurysm: an update. Br J Surg. 2018 Apr;105(5):469-478. doi: 10.1002/bjs.10777. Epub 2018 Mar 1. PMID: 29555198.
* Mészáros Á, Szabo G. Acute Aortic Dissection: A Review of Diagnosis and Management. J Clin Med. 2020 Apr 1;9(4):993. doi: 10.3390/jcm9040993. PMID: 32248552; PMCID: PMC7230896.
* Isselbacher EM, Preventza O, Gray HM, Hughes GC, Prendergast HM, Bolognesi R, Clark E, Deeb GM, DiMaio JM, Drezner JA, Feldman DN, Ferrari G, Gillespie S, Harkness A, Hockstad ES, Kim KM, Kohl BA, Kratzberg J, Laflamme M, Lincoln E, Malas MB, Miller M, Mokadam NA, Nishimura RA, Patel RP, Pepin ME, Prewitt K, Saedi S, Schneider V, Shahian DM, Stepp E, Strauss C, Williams M. 2022 ACC/AHA Guideline for the Diagnosis and Management of Aortic Disease: A Report of the American Heart Association/American College of Cardiology Joint Committee on Clinical Practice Guidelines. J Am Coll Cardiol. 2022 Nov 1;80(19):e233-e380. doi: 10.1016/j.jacc.2022.08.004. Epub 2022 Oct 27. PMID: 36280922.
* US Preventive Services Task Force; Krist AH, Davidson KW, Mangione MF, Barry MJ, Cabana MR, Caughey AB, Davis EM, Donahue CM, Doubeni LF, Epling JW Jr, Kubik M, Landefeld CS, LeFevre ML, Ogedegbe G, Pbert L, Silverstein M, Ssali F, Tseng CW. Screening for Abdominal Aortic Aneurysm: U.S. Preventive Services Task Force Recommendation Statement. JAMA. 2019 Dec 10;322(22):2219-2224. doi: 10.1001/jama.2019.18371. PMID: 31826017.
* Pannu H, Kim N, Guo DC, Wenkert D, Loebe M, Estrera A, Milewicz DM. Genetic Predisposition to Thoracic Aortic Aneurysm and Dissection: A Guide for Clinicians. Circ Res. 2021 Jun 25;129(1):97-111. doi: 10.1161/CIRCRESAHA.121.318288. Epub 2021 Jun 24. PMID: 34160456; PMCID: PMC8461461.
Q.
Aneurysm? Why Your Arteries Bulge & Medically Approved Next Steps
A.
An aneurysm is a bulge in a weakened artery wall that can stay stable or rupture, most commonly in the aorta or brain, with risk increased by high blood pressure, atherosclerosis, smoking, age, and family history. Medically approved next steps include watchful monitoring with imaging, tight blood pressure and cholesterol control and smoking cessation, and surgical repair when size, growth, symptoms, or rupture risk warrant it, while sudden severe abdominal or back pain or the worst headache of your life is an emergency. There are several factors to consider, including specific size thresholds and who should be screened, so see the important details below.
References:
* Humphrey JD, Taylor CA, Schwartz MA. Aneurysms: Pathophysiology and Clinical Management. Annu Rev Med. 2017 Jan 14;68:209-222. doi: 10.1146/annurev-med-112315-095551. PMID: 28085587.
* Jackson BM, et al. Society for Vascular Surgery clinical practice guidelines for the care of patients with an abdominal aortic aneurysm. J Vasc Surg. 2023 Jan;77(1):1S-103S. doi: 10.1016/j.jvs.2022.08.083. PMID: 36566673.
* Molyneux AJ, Rinkel GJE. Recent advances in the understanding and management of intracranial aneurysms. Nat Rev Neurol. 2020 Dec;16(12):657-670. doi: 10.1038/s41582-020-00412-2. PMID: 33177685.
* Zheng T, Li G, Hu J, Ma C, Wang C. Thoracic Aortic Aneurysms: Recent Advances in Genetic and Molecular Pathogenesis. J Clin Med. 2023 Feb 15;12(4):1551. doi: 10.3390/jcm12041551. PMID: 36836040.
* Wanhain B, Reimer P, Stellamanns J, Schmitz-Rixen T. Screening for abdominal aortic aneurysm: a systematic review and meta-analysis. CMAJ. 2017 Jul 10;189(27):E909-E917. doi: 10.1503/cmaj.161042. PMID: 28710389.
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Link to full study:
https://www.medrxiv.org/content/10.1101/2024.08.29.24312810v1References
Sakalihasan N, Limet R, Defawe OD. Abdominal aortic aneurysm. Lancet. 2005 Apr 30-May 6;365(9470):1577-89. doi: 10.1016/S0140-6736(05)66459-8. PMID: 15866312.
https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(05)66459-8/fulltextCalero A, Illig KA. Overview of aortic aneurysm management in the endovascular era. Semin Vasc Surg. 2016 Mar;29(1-2):3-17. doi: 10.1053/j.semvascsurg.2016.07.003. Epub 2016 Jul 15. PMID: 27823587.
https://www.sciencedirect.com/science/article/abs/pii/S089579671630014X?via%3DihubLu H, Du W, Ren L, Hamblin MH, Becker RC, Chen YE, Fan Y. Vascular Smooth Muscle Cells in Aortic Aneurysm: From Genetics to Mechanisms. J Am Heart Assoc. 2021 Dec 21;10(24):e023601. doi: 10.1161/JAHA.121.023601. Epub 2021 Nov 19. PMID: 34796717; PMCID: PMC9075263.
https://www.ahajournals.org/doi/10.1161/JAHA.121.023601Aortic Aneurysm - CDC
https://www.cdc.gov/heartdisease/aortic_aneurysm.htm#:~:text=An%20aortic%20aneurysm%20is%20a,to%20leak%20in%20between%20themAortic Aneurysm - Mayo Clinic
https://www.mayoclinic.org/diseases-conditions/aortic-aneurysm/symptoms-causes/syc-20369472