Background: a 76-year-old man readyed with transient loss of consciousness associated with swelling of the neck bruising in the suprasternal notch and an absent left carotid pulsation Blood pressure was equal in the two arms and chest x-ray was normal.
Background: a 76-year-old man readyed with transient loss of consciousness associated with swelling of the neck bruising in the suprasternal notch and an absent left carotid pulsation Blood pressure was equal in the two arms and chest x-ray was normal, moreover computed tomography of the neck and thorax showed dissection and dissolution of the thoracic aorta with extensive intra-mediastinal bleeding.