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Often the bacteria enter areas of previous areas or harm weakened since birth. Today Although rare, the advanced type of the std syphilis was a common reason behind this problem in the early part of the 20th century. Inflammatory aneurysm: Inflammatory conditions or vasculitis, such as for example rheumatoid and psoriasis arthritis, may produce irritation in the bloodstream vessel wall itself. If the inflammation is not reversed, it eventually weakens the wall of the aorta. Vasculitis generally affects small to medium-sized vessels and rarely the aorta. Injury: Problems for the chest or abdomen, as in an automobile wreck or poor fall, can damage a location of the aorta. This leaves the aorta susceptible to bulging.