Diagnosis: A 54 year old man is brought to the emergenc.
DiagnosisA 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.
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.
What is your diagnosis?