Typical signs in vascular ultrasound examination: mantle sign and anechoic crescent sign of aortic aneurysm

  • YAMAMOTO Tetsuya
    Central Laboratory, International Medical Center, Saitama Medical University
  • IWANAGA Shiro
    Department of Cardiology, International Medical Center, Saitama Medical University

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Other Title
  • 血管エコーで知っておきたい典型的なサイン大動脈瘤でみるサイン(マントルサイン,ACサイン)

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Description

Mantle sign and anechoic crescent (AC) sign are two representative ultrasound findings of aortic aneurysm. Mantle sign is a hypoechoic wall thickening of the anterior or anterolateral side of an aortic aneurysm, and suggests that the aortic aneurysm is inflammatory. AC sign is a crescent-shaped anechoic area between abdominal aortic aneurysmal wall and mural thrombus, and is sometimes misdiagnosed as aortic dissection. These signs are clinically useful; however, differential diagnosis from similar findings is often challenging. Close observation of ultrasound images is necessary for the correct diagnosis along with medical history, blood analysis, and other imaging modalities. We described important points for differential diagnosis using these signs, and the origin and clinical significance of these signs.

Journal

  • Choonpa Igaku

    Choonpa Igaku 44 (2), 141-147, 2017

    The Japan Society of Ultrasonics in Medicine

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