Background: Type B aortic dissections have historically been treated with best medical therapy. Surgical repair is associated with significant morbidity and mortality. In East Africa there are a limited number of surgeons who are able to successfully operate on Type B aortic dissections. Method: We present four cases that were managed by Thoracic Endovascular Aortic Repair (TEVAR). The outcomes were acceptable with no mortalities and in-hospital stay of less than one week. Conclusion: TEVAR is now considered the standard of treatment for type B aortic dissections and should be considered in patients with suitable anatomy.