Aortic dissection occur secondary to splitting of the layers in the wall of the aorta. There is a tear in the intima that results in entry
of blood in between the intima and media. Type A dissection typically occurs in the ascending part of the aorta. The tear is
brachiocephalic artery. It is a medical emergency. Mortality is high even though there is an advance in medical and surgical
techniques. Acute myocardial infarction is a clinical mimic of aortic dissection. This case report discusses a patient with chest pain
in the retrosternal area radiating to the back; aortic dissection manifesting as acute inferior wall myocardial infarction.
Keywords: acute myocardial infarction, aortic dissection, chest pain