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Aortic aneurysm. An aortic aneurysm is an enlargement (dilation) of the aorta to greater than 1.5 times normal size. They usually cause no symptoms except when ruptured. Occasionally, there may be abdominal, back, or leg pain. They are most commonly located in the abdominal aorta, but can also be located in the thoracic aorta.
Aortic Aneurysm: What You Need to Know. 1  Aneurysms may be characterized by a severe, pulsing pain in the chest (thoracic aneurysm) or lower back (abdominal aneurysm). Many aneurysms are caused by atherosclerosis, a buildup of fatty plaque in the artery. 2  People with certain connective tissue disorders may also be at risk. 3  Treatment is based on an aneurysmâs size and rate of growth. 4  Surgery is often needed to repair the aneurysm and avert a potential rupture.