Thoracic aortic dissection presents typically as:

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Thoracic aortic dissection typically presents with severe chest pain that starts suddenly and radiates to the back and both arms. The pain is often described as tearing or ripping in nature. It may be associated with other symptoms such as shortness of breath, sweating, nausea, vomiting, or dizziness. Sharp stabbing pain in the mid thorax (A) or unilateral pleuretic chest pain and dyspnea (D) are less common presentations of aortic dissection.

Thoracic Aortic Dissection Presents Typically As