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AORTIC WALL THICKNESS AS AN UNRELIABLE SIGN IN THE DIAGNOSIS OF DISSECTING ANEURYSM OF THE THORACIC AORTA

J. EDSON PRICE JR. M.D.1, ROBERT K. GRAY M.D.2, and J. H. GROLLMAN JR. M.D.3

1 Fellow, Cardiovascular Radiology.
2 Assistant Professor in Residence.
3 Assistant Professor.

An increase in the aortic wall thickness of more than 4 to 5 mm. has been considered to be a diagnostic criterion for dissecting aneurysm of the thoracic aorta.

We have noted increase of the aortic wall thickness greater than 5 mm. in 3 cases where this increase was due to fat.

The differential diagnosis of an increase in aortic wall thickness should include; normal (fat), dissecting aneurysm, arteriosclerotic disease with intraluminal clot formation, sclerosing aortitis, and neoplasm surrounding the wall of the thoracic aorta.


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S. Sprayregen, H. G. Jacobson, and S. Sprayregen
Angiographic Differentiation of Thoracic Aneurysms and Neoplasms
Vascular and Endovascular Surgery, September 1, 1976; 10(4): 200 - 213.
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