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What exactly is an abdominal aortic aneurysm (AAA)? An abdominal aortic aneurysm (AAA) is often a bulge in the wall on the aorta — your body’s principal artery — that types while in the abdomen which may be risky if it enlarges too much or ruptures.AAAs have a tendency to arise when There's a failure of the structural proteins of your aorta.