A 76-year-old man is driven to the ED by his wife and is complaining of severe chest pain that started 30 min ago. He denies abdominal or extremity pain. Pulses in arms and legs are 2 +. His kidney function is normal. CT scan shows an aortic dissection. Which of the following findings on CT scan would most strongly indicate the need for urgent surgery?
(A) Dissection of entire descending thoracic aorta
(B) Involvement of common iliac arteries
(C) Involvement of renal arteries
(D) Extension into mesenteric vessels
(E) Involvement of origin of innominate artery