20th June 2026

A 45-year-old European gentleman has presented to the emergency department with chest pain.

A 45-year-old European gentleman has presented to the emergency department with chest pain. It started suddenly when he was walking his dog in the morning. His observations in triage include HR 95, Sats 95%, RR 18, BP 200/120, Temp 37.1 °C. He describes this pain as tearing, and on further questioning, it is found that the pain radiates to the back of his shoulders. His only past medical history is Marfan’s syndrome. The A&E team suspects aortic dissection and sends the patient for a CT aorta.

CT report: Stanford type B aortic dissection extending down to the common iliac arteries.

You are referred this patient for medical management following discussion with the cardiothoracic team on call. How do you proceed?

Select the SINGLE most appropriate option from the list below. Select ONE option only.