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Aortic diseases can become life-threatening conditions; therefore accurate imaging of the aorta has a major importance in clinical practice. Despite the advances represented by the most recently introduced techniques, such as computed tomography and magnetic resonance, echography remains essential for the detection of the aortic pathology and follow-up. It is rapid, cost-efficient, and with good accuracy. Meanwhile, it avoids irradiation and nephrotoxicity. Echography is mandatory for choosing and monitoring surgical or endovascular treatment, as well as for rapid detection of periprocedural complications. This chapter will focus on the role of echography for the assessment of aorta in normal and various pathological settings.