46-year-old gentleman admitted with shortness of breath and chest discomfort for last 6 months. He had no history of chest pain. He had history of flank pain for last few months along with occasional hematuria. He was taking self medications (analgesics) for these symptoms. On initial examination there was pallor and bipedal oedema. SpO2 was 96% in room air. Cardiovascular examinations revealed mid diastolic murmur in the mitral area without any radiation. Chest examinations revealed normal vesi...

50-year-old woman with end-stage renal failure on haemodialysis presented with chest pain. She was recently treated with methicillin-resistant Staphylococcus aureus bacteraemia secondary to tunnel line infection. Transthoracic echocardiogram demonstrated a linear structure in the descending thoracic aorta suspicion for an aortic dissection (Figure 1). Computed tomography (CT) thoracic aorta (Figure 2) showed a large descending thoracic aortic aneurysmat the T7/T8 level. Because of her comorbidit...