Abdominal Aortic Aneurysm (AAA) Treatment in Macon & Central Georgia

Aneurysmal Disease

What Is an Abdominal Aortic Aneurysm?

An abdominal aortic aneurysm occurs when a portion of the abdominal aorta becomes enlarged and weakened, often due to a buildup of plaque, high blood pressure, or genetic factors. Over time, the artery wall stretches like a balloon, and if it continues to grow, the risk of rupture increases.

AAAs are most common in adults over age 60, especially men and smokers, but can occur in women as well.

Symptoms of Abdominal Aortic Aneurysm

In many cases, an AAA has no symptoms until it grows large or ruptures. When symptoms do occur, they may include:

  • A pulsing sensation in the abdomen (like a heartbeat in your stomach)
  • Deep, constant pain in the abdomen or side
  • Back or flank pain
  • Sudden, severe pain in the abdomen or back (a sign of rupture — a medical emergency)

Ruptured AAAs cause life-threatening internal bleeding. If you experience sudden, severe abdominal or back pain, call 911 immediately.

Causes & Risk Factors

Several factors increase the risk of developing an AAA:

  • Smoking (past or current)
  • High blood pressure
  • High cholesterol
  • Atherosclerosis (hardening of the arteries)
  • Age (over 60, risk increases with age)
  • Male gender (men are 4–5x more likely than women)
  • Family history of aneurysm
  • Other vascular diseases, including PAD

Treatment Options for Abdominal Aortic Aneurysm

Monitoring (Surveillance)

Small aneurysms (typically <5.5 cm in men, <5.0 cm in women) may not need immediate surgery but require:

  • Regular ultrasound or CT scans to track growth
  • Strict management of blood pressure, cholesterol, and lifestyle factors
  • Smoking cessation support
  • A small incision is made in the
  • A stent graft is inserted through the artery and placed inside the
  • This reinforces the weak artery wall and prevents
  • Most patients recover quickly and go home within a day or
  • Involves removing the aneurysmal portion of the aorta and replacing it with a synthetic
  • Typically recommended for very large, complex, or ruptured
  • Longer recovery but proven

Frequently Asked Questions (FAQs)

Most people have never heard of an abdominal aortic aneurysm (AAA) until they or a loved one is diagnosed. Often called a “silent threat,” an AAA is a weakening and bulging of the aorta, the main blood vessel that carries blood from your heart to the rest of your body. If it ruptures, it can be life-threatening.

At Premier Vascular, our board-certified vascular surgeons specialize in diagnosing, monitoring, and treating AAAs. Serving patients across Macon and Central Georgia, we provide advanced vascular care to protect your health and prevent dangerous complications.

Most AAAs are discovered incidentally during imaging for another condition or through screening in at-risk patients.

Diagnostic tools include:

  • Ultrasound: First-line, painless, and highly accurate for detecting
  • CT Angiography (CTA): Provides detailed images of aneurysm size and shape, used for surgical planning.
  • MRI Angiography: Another imaging option in certain

At Premier Vascular, we offer in-office ultrasound screening for high-risk patients, such as men over 65 who have ever smoked.

Untreated AAAs can lead to:

  • Sudden rupture and life-threatening internal bleeding
  • Shock or death if not treated immediately
  • Progressive enlargement causing pain and pressure on nearby organs


Treatment dramatically reduces the risk of rupture and provides long-term protection.

Yes. While it may not cause symptoms, rupture can be fatal if untreated.

Growth rates vary, but small aneurysms are usually monitored every 6–12 months to track changes.

Yes. Quitting smoking, controlling blood pressure, and managing cholesterol all help slow aneurysm growth.

EVAR is less invasive with quicker recovery, but not every patient is a candidate. Open repair is sometimes required for complex or large aneurysms.

Yes. Medicare covers a one-time screening ultrasound for men aged 65–75 who have ever smoked. Most insurance plans follow similar guidelines.

Schedule a consultation and screening. Early detection is the best protection against rupture.

Why Choose Premier Vascular?

  • Board-certified vascular surgeons with extensive experience in both endovascular and open AAA repair
  • Advanced diagnostic imaging and in-office screening for high-risk patients
  • Personalized monitoring plans for small aneurysms
  • Local, trusted care in Macon and Central Georgia — no need to travel far from home
  • Focus on lifesaving vascular surgery and prevention

Protect Your Health with Expert AAA Care

An abdominal aortic aneurysm can be silent — until it isn’t. With expert screening, diagnosis, and treatment, you can prevent life-threatening complications. At Premier Vascular, we’re committed to keeping you safe and giving you peace of mind.

Call Us Today

Call 478-250-9785 today to schedule your AAA evaluation.

Our Location

Serving patients across Macon and Central Georgia.