Abdominal aortic aneurysm

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Complications

By Mayo Clinic staff

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Illustration showing a dissecting aneurysm 
Dissecting aneurysm

Tears in the wall of the aorta (dissection) are the main complications of abdominal aortic aneurysm. A ruptured aortic aneurysm can lead to life-threatening internal bleeding. In general, the larger the aneurysm, the greater the risk of rupture.

Signs and symptoms that your aortic aneurysm has burst include:

  • Sudden, intense and persistent abdominal or back pain
  • Pain that radiates to your back or legs
  • Sweatiness
  • Clamminess
  • Dizziness
  • Nausea
  • Vomiting
  • Low blood pressure
  • Fast pulse
  • Loss of consciousness
  • Shortness of breath

Another complication of aortic aneurysms is the risk of blood clots. Small blood clots can develop in the area of the aortic aneurysm. If a blood clot breaks loose from the inside wall of an aneurysm and blocks a blood vessel elsewhere in your body, it can cause pain or block the blood flow to the legs, toes, kidneys or abdominal organs.

References
  1. Aneurysm. National Heart, Lung, and Blood Institute. http://www.nhlbi.nih.gov/health/health-topics/topics/arm/printall-index.html. Accessed Feb. 15, 2013.
  2. Aortic aneurysms. The Society of Thoracic Surgeons. http://www.sts.org/patient-information/aneurysm-surgery/aortic-aneurysms. Accessed Feb. 15, 2013.
  3. Aortic aneurysms. The Merck Manuals: The Merck Manual for Healthcare Professionals. http://www.merckmanuals.com/professional/print/cardiovascular_disorders/diseases_of_the_aorta_and_its_branches/aortic_aneurysms.html. Accessed Feb. 16, 2013.
  4. Screening for abdominal aortic aneurysm. U.S. Preventive Services Task Force. http://www.uspreventiveservicestaskforce.org/uspstf/uspsaneu.htm. Accessed Feb. 16, 2013.
  5. Lewiss RE, et al. Vascular abdominal emergencies. Emergency Medicine Clinics of North America. 2011;29:253.
  6. Papadakis MA, et al. Current Medical Diagnosis & Treatment 2013. 52nd ed. New York, N.Y.: The McGraw-Hill Companies; 2013. http://www.accessmedicine.com/resourceTOC.aspx?resourceID=1. Accessed Feb. 16, 2013.
  7. Lederle FA, et al. Long-term comparison of endovascular and open repair of abdominal aortic aneurysm. New England Journal of Medicine. 2012;367:1988.
  8. U.S. News best hospitals 2012-2013: Top-Ranked Hospitals for Cardiology & Heart Surgery. http://health.usnews.com/best-hospitals/rankings/cardiology-and-heart-surgery. Accessed Feb. 16, 2013.
DS01194 March 22, 2013

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