Retrograde ascending aortic dissection during or after thoracic endovascular aortic repair is a nonfrequent complication (2.4%) especially in patients for type B aortic dissections with a high mortality rate (42%). This complication can occur not only during the index hospitalization but also after discharge up to 3 years. However, retrograde type B aortic dissection is much less common after standard endovascular repair for infrarenal abdominal aortic aneurysm. We present a 76-year-old female patient with a history of ascending aorta aneurysm and obesity who was referred to our clinic with retrograde type B aortic dissection 1 month after endovascular aneurysm repair due to infrarenal abdominal (contained) rupture.