A 65-year-old male with a known thoracic aortic aneurysm of 6.5 cm presents with sudden-onset severe tearing chest pain radiating to the back between ...

Question

A 65-year-old male with a known thoracic aortic aneurysm of 6.5 cm presents with sudden-onset severe tearing chest pain radiating to the back between the scapulae. His blood pressure is 220/120 mmHg in the right arm. He has a new diastolic murmur. What is the significance of the new diastolic murmur?

Accepted Answer

Aortic regurgitation - the dissection has extended into the aortic root, disrupting the aortic valve; this significantly worsens the prognosis

Answer

Tricuspid regurgitation from pulmonary hypertension

Answer

Innocent flow murmur from the tachycardia

Answer

Mitral stenosis secondary to aortic root dilatation

Answer

Pulmonary regurgitation from right heart failure

uk-dipimc MCQ (SBA): Aortic Dissection with AR