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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.
1 Exactly how atherosclerosis leads to abdominal aortic aneurysms is unclear. 2  It is thought that atherosclerosis causes changes in the lining of the artery wall that may affect oxygen and nutrient flow to the aortic wall tissues. 3  The resulting tissue damage and breakdown may lead to the development of an aneurysm.