Figure 1 Thoracic aortic injury with active bleeding(A) Computed tomography (CT) angiogram of the axial maximum intensity projection (MIP) reconstruction with aortic trauma in loco typico. (B) CT showing left hemothorax, pulmonary trauma, and active bleeding. (C) CT MIP sagittal projection with aortic grade IV trauma. (D) CT volume rendering technique reconstruction of the aortic wall trauma grade IV. (E) Digital subtraction angiography with active contrast agent leakage. (F) ZDEG (Cook) stent graft implantation before the origin of the left vertebral artery with left subclavian artery coverage. (G) CT follow-up in coronal projection. (H) CT follow-up in sagittal projection.