Aortic dissection is typically an emergency condition characterised by sudden onset of back pain, tearing-like chest pain, dizziness, vomiting, and sweating. In this case, we aimed to present a case of silent aortic dissection accompanied by isolated bradycardia and epigastric pain. A 74-year-old male patient with known diabetes mellitus, hypertension, coronary artery disease, cholesterol and arrhythmia presented to the district state hospital with sudden onset epigastric pain at home. The patient's tests in the district were normal, but he was referred to our hospital due to his newly developed bradycardia and persistent epigastric pain. The patient, who did not present with a severe clinical picture and was found to have a Stanford Type A dissection on computed tomography angiography, underwent emergency surgery by the Department of Cardiovascular Surgery.