We have presented the case of a 20-year-old woman who had been involved in a motor vehicle collision with innominate artery transection. Because of her concomitant possible cerebral injury, she was deemed at extremely high risk of postoperative neurologic dysfunction if undergoing open surgical repair. Using intravascular ultrasound and angiography, the lesion was evaluated, and covered stents were deployed across the lesion. The patient tolerated the procedure well and was discharged without complications. Duplex ultrasound scans at 1 and 6 months showed satisfactory results. Thus, endovascular repair is a feasible alternative approach to open repair for patients with blunt traumatic innominate artery injury.