Thickness of the Descending Aortic Wall: An Unreliable Angiographic Sign for Dissecting Aneurysms

Abstract
A large fusiform atherosclerotic aneurysm of the [human] aorta with a long, thick, laminated, calcified thrombus mimicked the angiographic appearance of a dissection of the descending aorta with a 20 mm wide thrombosed false channel. An increase in the width of the aortic wall exceeding 10 mm may not be a uniformly reliable sign for dissecting aneurysms of the descending aorta.