Dissecting aneurysm, (Type 1) beginning in the aortic arch and extending distally into the descending thoracic aorta as well as proximally into the ascending aorta. An intimal tear is seen in the arch. B, The cross section shows dissection typically separating the intima and inner two-thirds of the media on luminal side, from the outer one-third of the media and the adventitia. C, The ascending aorta is seen with the heart. There is an intimal tear in the aortic wall (black arrow) extending proximally upto aortic valve dissecting the media which contains clotted blood (white arrow)