Late onset traumatic aortic isthmus transection after acetabular fracture surgery

Background: Traumatic acetabulum fractures are common injuries and are often associated with cardiopulmonary injuries such as hemothorax or pneumothorax. Aortic transection is a well-described cause of death, particularly after a deceleration injury. However, late dissection on arcus aorta level is rare. Case Presentation: We describe the late presentation of an aortic transection case with acetabular fracture caused by a motor vehicle accident treated with thoracic endovascular aortic repair procedure and discuss the possible mechanism of injury. Conclusion: In high-energy traumas, such as acetabular fractures, one should be alert for traumatic aortic injuries, especially if the patient has a chest trauma.