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Don't Let it Burst: Why Abdominal Aortic Aneurysm (AAA) Screening is Crucial

By Franz K. Murphy, MBBS August 20, 2025 Posted in: Heart Health

An abdominal aortic aneurysm (AAA) might sound like a mouthful, but understanding what it is and why screening is important could literally save your life. This silent threat often develops without noticeable symptoms, making screening the key to early detection and prevention of potentially fatal complications.

What is an Abdominal Aortic Aneurysm (AAA)?

The aorta is the largest artery in your body, carrying blood from your heart through your abdomen. An AAA is a bulge or weakening in the wall of the aorta in the abdominal area. Over time, this weakened area can expand like a balloon. If the aneurysm grows too large, it can rupture, leading to massive internal bleeding and often death.

Why is AAA Screening So Important?

Here's why AAA screening is a vital health check:

  • Silent Killer: AAAs often develop without any noticeable symptoms. You might not know you have one until it ruptures, which is a medical emergency.
  • Early Detection Saves Lives: Screening can detect an AAA before it ruptures. Early detection allows for monitoring and, if necessary, timely intervention to prevent a life-threatening event.
  • Effective and Non-Invasive Screening: The screening process is typically a simple, painless ultrasound of the abdomen. It's quick, non-invasive, and highly effective at identifying AAAs.
  • Targeted Screening for High-Risk Individuals: Certain groups are at higher risk of developing AAAs, making screening particularly important for them.
  • Cost-Effective Prevention: The cost of screening is minimal compared to the cost and risk associated with emergency surgery for a ruptured AAA.

Who Should Be Screened for AAA?

While guidelines may vary slightly depending on your location and healthcare provider, the following groups are generally recommended for AAA screening:

  • Men aged 65 to 75 who have ever smoked: This is the group with the highest risk.
  • Men aged 65 to 75 who have a family history of AAA: Having a close relative with an AAA increases your risk.
  • Women aged 65 to 75 who have ever smoked: While the risk is lower than in men, women who have smoked should still consider screening.
  • Individuals with other risk factors: Talk to your doctor if you have other risk factors, such as high blood pressure, high cholesterol, or a history of cardiovascular disease.

What Happens After Screening?

  • Normal Result: If the ultrasound shows no evidence of an AAA, you likely won't need further screening.
  • Small Aneurysm: If a small aneurysm is detected, your doctor will likely recommend regular monitoring with ultrasound scans to track its growth.
  • Large Aneurysm: If a large aneurysm is detected, your doctor will discuss treatment options, which may include lifestyle changes, medication, or surgery to repair the aneurysm.

Taking Control of Your Health:

AAA screening is a proactive step you can take to protect your health. Don't wait for symptoms to appear. Talk to your doctor about whether AAA screening is right for you, especially if you fall into one of the high-risk categories. Your health is worth it!

If you'd like to learn more about your Heart Health Risk level, take our short quiz. 

Franz K. Murphy, MBBS
Franz K. Murphy, MBBS

Franz K. Murphy, MBBS is a Vascular Surgeon with CHI Health.

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