右颈动脉受到血液压迫，这些血液来自主动脉向上的破裂口，也可能来自冠状动脉的破裂口。主动脉剥离病人可能出现的症状有严重的胸痛（主动脉远端剥离）或中风（因颈动脉剥离）或心肌缺血（因冠状动脉剥离）。
The right carotid artery is compressed by blood dissecting upward from a tear with aortic dissection. Blood may also dissect to coronary arteries. Thus patients with aortic dissection may have symptoms of severe chest pain (for distal dissection) or may present with findings that suggest a stroke (with carotid dissection) or myocardial ischemia (with coronary dissection).