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Combined trauma laparotomy and endovascular repair of thoracic aortic injury.

Proximal thoracic aortic injuries from blunt chest-trauma can be fatal soon after the injury or during or after attempts at open repair.1 Recently, several centres have described excellent results from endovascular repair of these injuries through a transfemoral route.2,3,4,5 Here we describe the unique combination of trauma laparotomy preceding endovascular repair of a thoracic aortic injury by means of the abdominal aorta to successfully treat 2 life-threatening injuries from a motor-vehicle accident.