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October 27, 1978

Ultrasound Aortic Measurement and Elective Aneurysmectomy

Author Affiliations

From the Department of Vascular Surgery, the Cleveland Clinic Foundation, Cleveland,

JAMA. 1978;240(18):1966-1968. doi:10.1001/jama.1978.03290180040020

In a study of 53 cases, aneurysm size was measured with the use of preoperative physical examination, lateral abdominal roentgenography, and B-mode aortic ultrasonography for comparison with direct intraoperative measurement during aneurysmectomy. Mean aneurysm diameter on the basis of physical examination overestimated aortic size by 1 cm; physical examination measurement was within 0.5 cm of true aortic size in 38% of patients and within 1 cm in 58% of patients. The lateral roentgenogram also overestimated mean aortic diameter by 1 cm and was within 0.5 cm of true aortic size in 44% of patients and within 1 cm in 72% of patients. Measurement using B-mode aortic ultrasonography closely approximated intraoperative aneurysm measurement. Measurement was identical in 34% of patients and was within 0.5 cm and 1 cm in 75% and 92% of patients, respectively.

(JAMA 240:1966-1968, 1978)