A 41‑year‑old man with a history of Marfan syndrome presents…
A 41‑year‑old man with a history of Marfan syndrome presents to the walk‑in clinic with tearing chest pain radiating to the back and neck. On examination, the patient is hypertensive; a high‑pitched decrescendo diastolic murmur at the left sternal border and diminished peripheral pulses are noted. Considering this patient’s genetic history, the clinician should be most concerned for which of the following diagnoses?