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This case report focuses on a completely asymptomatic proximal aortic dissection in a middle-aged male smoker with bullous lung disease. The possibility of a relationship between A1-antitrypsin (A1AT) deficiency and aortic dissection is discussed in light of the recent data.

Completely asymptomatic proximal aortic dissection and massive bullous lung disease: coincidence or is there any etiologic link?