There are different grades to injuries to the aorta depending on the extent of injury, and the treatment whether surgical or medical depends on that grade.[1] It is difficult to determine if a patient has a thoracic injury just by their symptoms, but through imaging and a physical exam the extent of injury can be determined.[2] All patients with a thoracic aortic injury need to be treated either surgically with endovascular repair or open surgical repair or with medicine to keep their blood pressure and heart rate in the appropriate range.[3] However, most patients that have a thoracic aortic injury do not live for 24 hours.[4]