28th October 2021

A 30-year-old male presents to the emergency department with severe, tearing chest pain

A 30-year-old male presents to the emergency department with severe, tearing chest pain. He has a past medical history of Marfan syndrome and is allergic to several items, including contrast. There is no significant family history. On examination, there is a difference in blood pressure readings between the two arms and a diastolic murmur can be auscultated. 

Which of the following is the most appropriate diagnostic investigation?

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