ABSTRACT
Aortic dissection (AD) is a vascular emergency. Diagnosis of AD by transesophageal echocardiography, computerized tomography and magnetic resonance imaging is well described in the literature with high sensitivity and specificity. We report a diagnosis of AD with suprasternal window evaluation during transthoracic echocardiography in a 67-year-old woman presented to the Emergency Department with syncope and left side weakness.