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A 62-year-old female presented to the emergency department after sudden onset of epigastric pain. She had no previous medical history to include no history of hypertension or vascular disease. She was admitted to the hospital and her workup revealed an ascending aortic dissection. Here, we present an atypical presentation of a patient with an aortic dissection diagnosed on transthoracic echocardiogram.

Atypical Presentation of Ascending Aortic Dissection Diagnosed Via Transthoracic Echocardiogram