Cite this article as: Kaneyuki D, Asakura T, Iguchi A, Yoshitake A, Tokunaga C, Tochii M et al. Early- and long-term results of thoracic endovascular aortic repair for blunt traumatic thoracic aortic injury: a single-centre experience. Eur J Cardiothorac Surg 2019;56:307–12. Early- and long-term results of thoracic endovascular aortic repair for blunt traumatic thoracic aortic injury: a single-centre experience† Daisuke Kaneyuki*, Toshihisa Asakura, Atsushi Iguchi, Akihiro Yoshitake, Chiho Tokunaga, Masato Tochii and Hiroyuki Nakajima Division of Cardiovascular Surgery, Saitama Medical University International Medical Center, Hidaka-shi, Japan * Corresponding author. Division of Cardiovascular Surgery, Saitama Medical University Interational Medical Center, 1397-1, Yamane, Hidaka-shi, Saitama 3501298, Japan. Tel: +81-42-9844111; fax: +81-42-9844275; e-mail: kinkoudaisuke@gmail.com (D. Kaneyuki). Received 11 November 2018; received in revised form 7 January 2019; accepted 10 January 2019 Abstract OBJECTIVES: Endovascular repair has been proposed as an alternative to classical surgical repair for the management of blunt traumatic thoracic aortic injury. However, the long-term outcomes of endovascular repair and the risks of left subclavian coverage remain unclear. METHODS: From April 2001 to August 2018, 33 patients with blunt traumatic thoracic aortic injury underwent endovascular repair in our institution. A follow-up computed tomography and a clinical examination were performed before discharge and at 1 month, and yearly or every 2 years thereafter. RESULTS: The mean age was 45 ± 19 years. The technical success rate was 100%. Complete coverage of the left subclavian artery (LSCA) was performed in 20 patients (60.6%). Among 20 patients with coverage of the LSCA, revascularization was performed in 1 patient. No in- hospital deaths occurred. The clinical follow-up rate was 97%, with a mean period of 7 years and a maximum of 18 years. The survival rates were 100% at 1 year, 95% at 5 years and 88.7% at 10 years after the event. Among the 5 patients (20%) who developed neurological †Presented at the 71st Annual Scientific Meeting of the Japanese Association for Thoracic Surgery, Tokyo, Japan, 4 October 2018. ENDOVASCULAR AORTIC SURGERY V C The Author(s) 2019. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved. European Journal of Cardio-Thoracic Surgery 56 (2019) 307–312 ORIGINAL ARTICLE doi:10.1093/ejcts/ezz023 Advance Access publication 7 February 2019