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Emergency Medicine

Answer 1
  1. Pericarditis. As an aortic dissection propagates, it can disrupt either coronary blood flow, leading to a myocardial infarction, or spinal artery blood flow, resulting in lower extremity paralysis. Proximal rupture into the pericardium can result in pericardial tamponade, and any changes in aortic root dimensions can result in aortic valve insufficiency. Pericarditis, usually inflammatory or infectious, is not a described complication of aortic dissection.

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