Abdominal Aortic Aneurysm (AAA)

An abdominal aortic aneurysm (AAA) is a weakening and balloon-like bulging of the abdominal portion of the aorta—the main blood vessel carrying blood from the heart to the body. Over time, pressure within the artery can cause it to enlarge and potentially rupture, resulting in a life-threatening emergency.

At The Medical Group of New Jersey, our board-certified vascular surgeons specialize in the early detection, monitoring, and surgical management of aneurysms using advanced imaging and minimally invasive repair options that prioritize safety and long-term outcomes.

Symptom Onset & Initial Evaluation

Most abdominal aortic aneurysms (AAAs) develop slowly and without symptoms. As the aneurysm enlarges, however, patients may begin to notice warning signs such as:

• A pulsating feeling in the abdomen or near the navel
• Deep, constant pain in the abdomen or lower back
• Sudden, severe pain, often with dizziness or fainting — a possible sign of rupture that requires immediate emergency care

During your first visit, your vascular surgeon will review your personal and family medical history, blood pressure, smoking habits, and cholesterol levels. A screening ultrasound is recommended for:

• Men over 65 who have ever smoked
• Anyone with a family history of aneurysm

Diagnosis

Accurate imaging is essential to diagnose and monitor an AAA, helping determine its size, growth rate, and rupture risk. Common imaging tests include:

• Abdominal Ultrasound: A quick, noninvasive test used to detect and monitor aneurysms over time.
• CT Angiography (CTA): Provides detailed cross-sectional images to guide surgical planning and assess rupture risk.
• MRI or MRA: An alternative for patients who cannot undergo CT with contrast dye.

At The Medical Group of New Jersey, our on-site imaging services allow for fast, coordinated diagnosis and monitoring, overseen by board-certified vascular specialists.

Treatment

Treatment depends on the aneurysm’s size, rate of growth, and risk of rupture.

Monitoring & Medical Management

For smaller aneurysms, regular monitoring and medical therapy help reduce complications:

• Imaging surveillance: Every 6–12 months to track aneurysm growth
• Blood pressure and cholesterol control: Slows the rate of expansion
• Smoking cessation: The single most important step in preventing progression

Surgical Repair Options

If the aneurysm reaches a critical size or grows rapidly, surgical repair may be recommended:

• Endovascular Aneurysm Repair (EVAR): A minimally invasive procedure that places a stent graft inside the aorta through small groin incisions.
• Open Surgical Repair: Used for larger or more complex aneurysms, replacing the weakened portion of the aorta with a durable synthetic graft.

At The Medical Group of New Jersey, our vascular surgeons use advanced endovascular techniques and post-operative monitoring to ensure optimal outcomes and faster recovery.

Ongoing Management & Long-Term Prevention

After treatment, or while under surveillance, consistent follow-up is essential to protect long-term vascular health.

• Routine imaging: Periodic CT or ultrasound to confirm graft stability or monitor aneurysm size
• Medication adherence: Continue blood pressure and cholesterol-lowering medications as prescribed
• Lifestyle changes: Eat a heart-healthy diet, stay physically active, and avoid smoking
• Emergency awareness: Report any new or sudden abdominal, back, or groin pain immediately

Our vascular team works closely with cardiology, internal medicine, and radiology specialists to provide lifelong cardiovascular care and reduce the risk of future vascular disease.