If an aneurysm grows rapidly it can put pressure on surrounding structures in the chest, causing pain. Aneurysms can be located in the aortic root, or in the ascending aorta near the aortic valve. Frequently these aneurysms also involve the aortic valve. The damaged section of blood vessel extends down to the annulus, or the ring of the blood vessel that surrounds the valve. Aneurysms in this location are referred to as having Annuloaortic Ectasia .
Surgery is the only cure for an aortic aneurysm.
However, the timing of the surgical treatment is based on the relative risk of surgery versus the relative risk of rupture. Rupture occurs when the weakened wall of the blood vessel finally tears, much as a stretched-out elastic band will finally snap under pressure. If surgery is not yet necessary, the patient is treated medically through a combination of diet, exercise, and medication aimed at reducing blood pressure. This medical approach is intended to stabilize the damaged section of blood vessel, preventing further weakening, while avoiding the inherent risk of surgery. If the patient does not respond to medical management, surgery may be required.