‘Ripping’ Chest Pain in a 38-Year-Old Man

‘Ripping’ Chest Pain in a 38-Year-Old Man

A 38-year-old man with Marfan syndrome presents with sudden severe chest pain that radiates through to his back. He describes the pain as being sharp and ‘ripping’ in nature. He smokes 25 cigarettes per day. He is sweaty, nauseated and appears pallid. On examination...