http://arjournals.annualreviews.org – The formation of an arterial aneurysm is believed to be a multifactorial and predominantly degenerative process, resulting from a complex interplay between biological processes in the arterial wall and the hemodynamic stimuli on the vessel's wall. Once an aneurysm forms, the repetitive pressure and shear stresses exerted by the blood flow on the weakened arterial wall generally, but not always, cause a gradual expansion. Read more »