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.
Key words: Acetabular fracture, aorta transection, TEVAR procedure, late onset.
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