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hi my name is Dr Brad Taylor Iamp;#39;m the chief of cardiac surgery at the University of Maryland school of medicine and I want to welcome you to drawing Outside the Lines today weamp;#39;re going to talk about acute aortic emergencies specifically acute aortic dissections the aorta is the blood vessel or the major pipe that exits out of the heart once blood is ejected from the heart itamp;#39;s pushed through the aortic valve into the ascending aorta blood then transverses across the aortic Arch it goes to your right arm and to the right side of your brain it then goes up to the left side of your brain into your left arm and then descends to your lower body to your guts to your abdomen into your lower lower legs thereamp;#39;s a small risk that it can develop a tear and if a tear develops in it blood will then go in between the layers of the aorta and share off and create a tear that then can limit blood flow to your upper body and to your lower body if that tear occurs in your a