A 54 year old man is brought to the emergency room from his doctor's office. Chief complaint is sudden onset of severe chest discomfort. Discomfort had a tearing nature.

Test Results

Decreased red blood cell count. EKG is normal. Chest x-ray shows evidence of an aneurysm of the ascending aorta. Transesophageal echo shows separation of the layers of the ascending aorta.

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