Does your aorta start in the middle of the chest or a little to the right or left? dissection of aortic root the pain would be in the middle?

Middle: Aortic dissections are severe life threatening emergencies that usually cause severe ripping central chest pain and left untreated have a high rate of death. They usually occur in older people or people with pre-existing connective tissue disorders. If you are having severe new chest pain you should be evaluated today.

Middle: The ascending aorta is in the middle but is slightly shifted to the right . The pain associated with dissection of the ascending aorta is to the front of the chest,very intense and diffuse rather than in a discrete area.In contrast dissection of the descending arta is associated with pain in the back

Yes: The aortic root in general arise from the the upper part of the heart and goes up and turns toward the back of the chest and goes down the back of the heart and when you have a dissection you will feel pain between the shoulder blade. Depending on where the dissection is determine how high or low the pain is in the upper back. The pain can be quite intense. This is a medical emergency.