28th October 2021

A 53-year-old male is brought in by ambulance having fallen over at home

A 53-year-old male is brought in by ambulance having fallen over at home. He reported sudden-onset tearing chest pain prior to collapsing. His past medical history includes Marfan syndrome. He neither smokes nor drinks alcohol. On examination, he appears pale and clammy. There is a difference in blood pressure between his left and right arms.  

Which of the following is the most likely diagnosis?

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