What are physical findings in aortic dissection?

• hypertension or hypotension • loss of pulses, aortic regurgitation • pulmonary edema • neurologic findings due to carotid artery obstruction (hemiplegia, hemianesthesia) or spinal cord ischemia (paraplegia) • Hemopericardium and cardiac tamponade may complicate a type A lesion with retrograde dissection. • Acute aortic regurgitation is an important and common (>50%) complication of proximal dissection.