Approximately 8,000 trauma victims a year are attended at emergency rooms in the US with an aorta lesion. This lesion occurs in 10% to 30% of fatal blunt traumas, and is a frequent cause of death at the scene. Isolated aorta lesions are uncommon, and in 90% of the cases, they are associated with other open or closed wounds in different parts of the body, such as orthopedic, abdominal and cranial lesions. Although blunt thoracic aorta injury is frequently associated with other wounds in different parts of the body, it is uncommon with hollow viscous injuries.

Present a case with thoracic aorta injury and duodenal injury. Show the diagnosis and treatment of theses injuries.

The timing and the technical options for blunt aorta injury treatment have changed in recent years, once they do not always constitute an emergency that would prevent other lesions (whose late treatment might compromise the patient's prognosis) to be treated first.