A 54 year old man is brought to the emergency room from his doctor's office.

Patient Chart
History: 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.
Heart Rate:
Blood Pressure: /

Heart Sounds:
Lung Sounds:



Diagnosis What is your diagnosis?