A 51-year-old Negro woman was referred to the surgical service in 1964 because of calcifications shown on roentgenograms of the abdomen, suggesting an aortic aneurysm. Aortograms revealed a dilated, tortuous, and elongated abdominal aorta with a localized narrowing similar to a pseudo-coarctation of the thoracic aorta. There was no pressure gradient across the narrowed segment. Six years later, a second aortogram indicated no change in the configuration or size of the tortuosity. The patient remains asymptomatic and no surgery has been advised.