Traumatic injuries of the aorta are a leading cause of mortality in polytrauma cases, most commonly resulting from traffic accidents and less frequently from falls from heights. Traumatic aortic injuries should be suspected in patients with rib fractures, haemothorax, a flail chest, and various intra-abdominal injuries. The clinical presentation can vary greatly, with patients presenting either in a state of circulatory shock or hemodynamically stable. The most commonly reported symptom is chest pain radiating to the back. Aortic lesions are life-threatening conditions that require rapid recognition and intervention. Prehospital mortality rate is high. The most common damage occurs around the origin of the left subclavian artery. The aortic arch is more mobile compared to the descending aorta, and sudden deceleration can generate forces that increase tension in the mentioned area, leading to injury. CT aortography and transoesophageal echocardiography are the imaging methods of choice for confirming the diagnosis. The depiction of damage, or the sensitivity of these imaging techniques, greatly depends on the extent of the injury. Treatment is surgical and includes both open surgery and an endovascular approach. Given the lower invasiveness and lower rate of periprocedural complications, the endovascular approach is generally the option of choice. Inadequate choice of stent graft during endovascular approach can result in complications such as malposition, endoleak, etc. Long-term post-procedural monitoring is necessary due to the possibility of developing complications and if needed, their timely resolution. Due to its invasiveness and a high rate of intraoperative and postoperative complications, open surgery is performed less frequently.