Introduction and objectives. Several publications document the technical feasibility of stent graft repair of aortic transection. We report our mid-term results of endovascular repair of thoracic aortic transections using covered stent grafts and compare this to a co- hort undergoing open repair during the same time period to demonstrate the shift in practice pattern at our institution. Materials and methods. A retrospective review of pa- tients who sustained blunt thoracic transection was