There is scarce data in the literature about aortic dissection in heart transplant recipients and successful repair is even less common. We hereby report a case of a 47-year-old male patient who suffered from type A aortic dissection 5 months after the cardiac transplantation. The situation was incidentally diagnosed in the routine follow-up of the patient. He was treated with a Benthall procedure. On the follow-up he was in asymptomatic with non – pathologic echocardiography and myocardial biopsy 1 year after the transplantation and 7 months after the Benthall operation.