It is about an observation of traumatic dissection of thoraco-abdominal aorta in an adult, somewhere else suffering from hypertensive cardiomyopathy. The clinical picture associated thoraco-lumbar pain, and the appearance of a formerly non-existence sign of aortic inssufficency. The etiology was considered as traumatic in front of the precession of a thoraco-abdominal shack. Clinically evoked diagnosis will be confirmed by the prints. The treatment remained medical because of the absence of heart surgery unit in Bamako and in front of the beggary of the patient not allowing him to be evacuated towards a better equpped centre.
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