Aortic Dissection
Blood pressure differential between right and left arm
Sudden onset of symptoms including chest pain and tearing sound
Surgical repair required
33% of patients die within first 24 hours
Aortic dissection is a life-threatening condition in which a tear in the inner layer of the aortic wall appears. Blood pours into the tear, separating (dissecting) the inner layer from the middle layer. If the tear ruptures, death may result. Almost one-third of patients with aortic dissection die within the first 24 hours. Surgical repair of the tear is needed. Signs and symptoms include a sudden onset of severe chest pain. Depending on the location of the dissection, blood flow to either arm may be compromised, resulting in a difference in pressure between the arms.