Delayed thoracic endovascular aortic repair in a patient with aortic injury with multiple episodes of cardio-pulmonary arrest

Background: Blunt thoracic aorta injury (BTAI) is often associated with multiple systemic injuries, which increase the risk of mortality. While thoracic endovascular aortic repair (TEVAR) is the intervention of choice in such cases, systemic stabilization is just as important for patient survival and reduction of post-operative complications. Thus, a delayed TEVAR may be a viable option in cases of hemodynamic instability and multisystemic injuries with BTAI. Case Presentation: We present the case of a young individual with a history of a fall with polytrauma with BTAI with multiple episodes of cardiopulmonary arrest, acute kidney injury, and sepsis who successfully underwent delayed TEVAR. Conclusion: This report suggests focusing holistically on systemic components along with BTAI in cases of polytrauma, especially with hemodynamic instability. TEVAR may be delayed in such patients after a risk-benefit assessment.