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Patel M et al. - True aneurysms are different in that the dilated portion of the vessel is lined with all three layers of the native blood vessel—the intima, the media, and the adventitia. In true aneurysms, the blood remains within the circulatory system. Most traumatic aneurysms are false aneurysms, it is not always possible to distinguish between the two types only on the basis of the presence or absence of trauma.

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