The optimal choice of landing zone of the aorta is the key to good long-term results of endovascular treatment on the descending thoracic aorta. In patients with Type B aortic dissection and retrograde dissection to the aortic arch, arterial debranching of the aortic arch branches allows to form a safe landing zone and reduce the risk of antegrade endoleak formation and retrograde dissection.

• To analyze chest penetrating chest wounds with heart injury by native computed tomography (CT).
• To differentiate groups of patients who need urgent surgery (life-saving procedures) at the mobile military hospitals and who might be safely transported to the specialized cardiac surgery departments without previous urgent surgical procedures.