Background
Acute Aortic dissection is a rapidly fatal disease, necessiating emergent evaluation and management. Patient often present with sudden onset of severe chest pain radiating to the back, but atypical symptoms are common. In recent mounth it has come increasingly clear that there is a relation between hot water , hypertension and aortic dissection

Material and Methods
The Patient is a 62-years-old male who was presented in the emergency department with acute chest pain. The examination of the patient was unremarkable and his medical, surgical and family history was negative but before one hour use too hot woter to swimming history is positive. ECG was on sinus rhythm without any abnormalities. Cardiac CT with contrast material showed the presence of an dessending aortic acute dissection and presence of an intimal tear in the dessending aorta as well Fig 1. Its treated by TEVAR technic which is percutan endovascular graft implantation. The clinical manifestation and diagnosis of aortic dissection associate

Result
Cardiac CT with contrast material showed the presence of an dessending aortic acute dissection and presence of an intimal tear in the dessending aorta as well Fig 1. Its treated by TEVAR technic which is percutan endovascular graft implantation.

Conclusion
The clinical manifestation and diagnosis of aortic dissection associated with hot woter swimming related hypertention are similar to those unrelated to hot woter swimming use. One should be able to attention how use to swimming water hot deggree.