*Hypotension and shock as a result of aortic rupture.
*Pericardial tamponade secondary to hemopericardium
*Acute aortic regurgitation *propagating into a sinus of Valsalva with resultant aortic valve insufficiency
*Pulmonary edema secondary to acute aortic valve regurgitation
*Rare occurrence of right or left coronary ostium involvement leading to myocardial ischemia
*Neurologic findings due to carotid artery obstruction - Ischemic CVA, hemiplegia, hemianesthesia paraparesis, and paraplegia
*Mesenteric and renal ischemia - Can lead to bowel or visceral ischemia, renal infarction, hematuria, or acute renal failure (ARF)
*Compressive symptoms, such as superior vena cava syndrome, Horner syndrome
*dysphagia *hemoptysis
*Other compressive symptoms - Can be associated with vocal cord paralysis and hoarseness
*Claudication - Can develop from extension of the dissection into the iliac arteries.
