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These cases rarely arrive to the hospital alive, but when they do “Anamnesis” is the ability of the treating surgeon to diagnose the condition early in order to save the patient live. An accurate history and physical examination are necessary, clinical signs and symptoms are often lacking in these patients. A high index of suspicion is the cornerstone for timely diagnosis of Descending thoracic aorta injuries as it counts to less than 0.8% of all types of aortic transection Prof Sultan TEVAR Tuck and go technique is unique. The adventitia is holding the transected aorta. If the guide wires are not in the proper lumen, this may end in a catastrophe. Patient was discharged home after 4 days on baby aspirin. Endovascular interventions by Stent Grafts in Aortic trauma are the Gold standard. Trauma Vascular surgeons must consider endoluminal treatment as the only valuable alternative in such complex vascular cases.