Delayed endovascular repair of a traumatic aortic dissection

A 41-year-old male patient was admitted to our clinic after a high impact motor vehicle accident. Radiological evaluation revealed grade 2 splenic laceration, multiple fractures and type B aortic dissection with periaortic hematoma. Thoracic endovascular aortic repair was performed to distal subclavian artery with local anesthesia. Endovascular repair of thoracic aortic lesions can be accomplished with low perioperative mortality and morbidity rates. In case of multiple life threatening injuries, the patient should be stabilized hemodynamically for repair of aorta.