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An aortic dissection happens when tears appear in the inner lining of the aorta, which is the main artery leaving the heart. Blood surges into the tears, causing the aorta lining to split, or dissect.

A 74-year-old man presents to the emergency department with a 1-day history of severe chest and back pain. He has a history of hypertension and has run out of medication. He has no history of similar ...