Aortic dissection is the most common catastrophic event affecting the aorta, which is characterized by complex clinical manifestations, and high missed and delayed diagnosis rate. Acute aortic dissection has the importance of medical emergency and is associated with a high mortality. The presented case was a 55-year-old man who was found as dead in the shed. In heart autopsy, a dissection 1 cm above the aortic valve surrounding full thickness and intact adventitia, hematoma making pressure on the descending branch of the left coronary artery 1 cm from the proximal one resulting from dissection and full-thickness dissection in the origin of the right coronary artery and intact adventitia were observed. We aimed to discuss this interesting aortic dissection case in the aspects of medico legal literature.

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