Traumatic Aortic Injury

Traumatic aortic injuries are most commonly associated with rapid deceleration injuries and are the second most common cause of deaths due to blunt trauma. Only 10–20% of traumatic aortic injury patients make it to the emergency department alive, of those, only 60–70% survive. Prompt diagnosis of aortic injury is achieved with defined clinical presentations driving early CTA. In hemodynamically unstable patients, urgent aortic repair is key to survival. High technical success rate, low procedural complication rate, and low 30-day mortality rate can be expected with thoracic endovascular aortic repair (TEVAR), superior to the results previously obtained with open aortic repair.