Abdominal Aortic Aneurysm: When It's Surgery Time © (Getty Images) Cardiologist monitors heart imaging during surgery. People who don't realize they're living with an abdominal aortic aneurysm may face a sudden aortic rupture or tear and massive, catastrophic bleeding. However, others lucky enough to know in advance that they have a small, stable AAA have the luxury of time to consider their treatment choices – from watchful waiting to a minimally invasive procedure to all-out open surgery. Here's how doctors and patients decide when and what type of elective surgery would be wise. Majo...