Abdominal aortic dissection can present with abdominal pain radiating to the flank or back.a tearing or ripping pain in the chest,.Aortic dissection occurs when a tear occurs in the inner muscle wall lining of the aorta, allowing blood to split apart the muscle layers of the aortic wall.An aortic dissection is a small tear in the tunica intima (the inside layer of the aortic wall in contact with blood).