Abstract
Blunt thoracic aortic injury (BTAI) is a high-energy trauma, with most patients succumbing at the scene of the accident. Those who reach the hospital require immediate intervention. In most cases, the injury affects the aortic isthmus, and endovascular repair is the typical treatment approach. We present a rare case of BTAI in a 68-year-old female patient who arrived at the ED following a pedestrian accident. CT imaging revealed a grade III BTAI, which was successfully treated with thoracic endovascular aortic repair. This case underscores the critical importance of timely diagnosis and prompt intervention in BTAI.