We present the case of a 59-year-old male who sustained an ascending aortic Seasonal injury and a subdural hematoma after a head on collision.After undergoing emergent craniotomy for evacuation of the subdural hematoma, he was maintained with strict blood pressure control.Once able to be safely anticoagulated, he underwent replacement of the Wax Burner ascending aorta.This exceedingly rare case was managed by a multidisciplinary team approach that led to an optimal outcome given his disastrous multi-traumatic injuries.