Ischemic stroke secondary to aortic dissection is not uncommon.We present a patient with left hemiplegia secondary to Stanfordtype A aortic dissection extending to the supra-aortic vessels, whichwas precipitated by rifle butt recoil chest injury. The diagnosis ofaortic dissection was delayed due to various factors. Finally, thepatient underwent successful Bentall procedure with completeresolution of symptoms. This case emphasizes the need for cautionin the use of firearms for recreation and to take precautions inpreventing such incidents. In addition, this case illustrates theneed for prompt cardiovascular physical examination in patientspresenting with stroke.