“…In response to reduced distal arterial resistance and increase flow, such as is demonstrated in the response to even modest lower extremity exercise, wall shear stress becomes antegrade and laminar throughout the cardiac cycle, mimicking those characteristic of more proximal aortic segments. These distinct regional differences in hemodynamic influences may account for some component of the differential aneurysm risk noted between the thoracic and abdominal aortic segments (Dua and Dalman, 2010 As commented above, there are several work in the literature that show a correlation between very low shear stresses and the loss of permeability of the endothelial cell membrane (Helmlinger et al, 1991;Chiu et al, 2003). Studies have been the basis of an alternative, or even complementary, mechanism responsible for the origin of these aneurysms.…”