With a saccular aneurysm, the tunica media and tunica intima which are the inner most layers of the artery, rupture causing a âblood filled bulge or sacâ in the vesselsâ outermost wall (Aneurysm, 2002, p.386). A saccular aneurysm, (see Figure 1), bulges from only one side of the aortic vessel and has a distinct neck.The fusiform aneurysm, (see Figure 1), is similar to a saccular aneurysm in that the shape is also a ballooning, but pressure causes all sides of the aortic vessel to bulge outward.The fusiform is the most common form of abdominal aneurysm.n important function of vascular ultrasound includes the evaluation of the major vessels of the body. The sonographer must be able to recognize abnormalities represented in diagnostic imaging. Two abnormalities of the abdominal aorta include the fusiform and saccular aneurysm.
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