24/10/2022
A 64-year-old hypertensive presented to the ER with chest pain radiating to the back. On examination, the patient's vitals were deranged- BP 172/ 104 mm of Hg, HR 128 bpm, SpO2 92% in room air, and RR 16 CPM. A bedside ECG was done to rule out acute coronary syndrome which showed nonspecific ST- T changes. The cardiac enzyme profile turned out to be unremarkable. The patient was immediately shifted for imaging. A section of the image is given below. All of the following are true about the diagnosis except?
A. Can lead to renal ischemia, mesenteric ischemia and neurological deficits
B. Atherosclerosis and infection are major predisposing factors
C. Plane of cleavage lies between inner 2/3rd and outer 1/3rd of the tunica media
D. Intramural hematoma and penetrating atherosclerotic ulcers are precursor lesions