The double aorta is very rare. Only two cases are described in the literatu
re. More frequent is a duplication artifact which is misinterpreted as bein
g the image of a double aorta. This is caused by a refraction artifact whic
h results from the difference in the velocity of sound between muscle tissu
e and fat tissue. Furthermore, a fat depot between parts of the rectus abdo
minis muscle has a prism-like effect. In most cases, this artifact can be a
voided by lateral shifting of the transducer.