Introduction: Blunt Thoracic Aortic Injury BTAI is a frequently unrecognized cause of traumatic death. Thoracic Endovascular Aortic Repair (TEVAR) has become the treatment of choice for both elective and emergent conditions involving the descending thoracic aorta. The result has been a decrease in both operative mortality and morbidity as it offers a safer and less invasive therapeutic alternative to open surgery to these high risk surgical patients.Objectives: The aim of this study is to describe our last 3 years experience with the endovascular treatment of patients having blunt traumatic rupture of the descending thoracic aorta.Method: We prospectively studied patients who had been referred to our hospital after blunt thoracic trauma over the last 3 years with the diagnosis of acute rupture of the descending thoracic aorta. All were managed with endograft coverage of the aortic lesion.Follow up full aortic CTA-scan at 1, 3 and 6, and 12 month. Results: 14 patients (12 male and 2 female) were enrolled from September 2013 to October 2016. An emergency endovascular procedure was performed in all patients with a median time delay of 10 h (range, 6-24h). The mean age was 45±28years (range, 17-73 years). Mean intensive care unit stay was 5±2 days with mean hospital stay of 20±5 days. No transient or permanent neurologic deficits were reported. No cases of renal failure, cerebrovascular accident, myocardial infarction, cardiac arrhythmias, or congestive heart failure were observed. No supra-aortic revascularization was required in cases mandating LSA coverage. One case of respiratory failure was observed which required prolonged mechanical ventilation, 2 cases of pleural effusion, and 3 cases of vascular access complication due to wound infection. A post-implantation syndrome (PIS) was observed in 5 patients and managed by non-steroidal anti-inflammatory drugs (NSAID) therapy. Overall survival for was 100 % and was maintained at 1-year follow-up. On CT scan surveillance, no stent-graft failure or collapse, no endoleak, or distal migration were detected. Conclusion: TEVAR for the treatment of acute traumatic rupture of the descending thoracic aorta can be accomplished safely in emergency settings with minimal morbidity and excellent long term results. Key words: Aorta, Trauma, Endovascular.