An aortic dissection (AD) is the accumulation of blood in the wall of the aorta on account of a tear in the aort intima. The most typical manifestation is a severe chest pain. Atypical findings might be present in in some cases and this might lead to delay in diagnosis. Echocardiography (ECHO) is a noninvasive and easily available technique used in the diagnosis of AD. AD requires urgent surgery and the delay in the diagnosis and the treatment results in high mortality.in this study an aortic case characterized with ischemic stroke is presented.