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We present a well-documented case of a post-traumatic aortic dissection that ruptured about 9\u00a0months after chest trauma. A motorcyclist sustained fractures of the forearm and chest trauma with paravertebral rib serial fractures and hemopneumothorax. Nine months after the accident, echocardiography revealed a pseudoaneurysm that ruptured 3\u00a0months later and 1\u00a0month prior to the planned surgery. An autopsy showed pericardial tamponade following a rupture of the dissected aorta. Accident scene documentation was consistent with a head-on collision of the motorcycle against the left front side of the car. The relative speed was about 55\u00a0km\/h. Aggravation of unspecific symptoms after discharge, initial CT imaging, and the absence of atherosclerosis or medial necrosis hold for a post-traumatic genesis of the dissection in our case. Initially, the accident insurance company rejected the regulation. In the second instance, they revised rejection based on our interdisciplinary expert opinion.<\/jats:p>","DOI":"10.1007\/s00414-022-02935-6","type":"journal-article","created":{"date-parts":[[2022,12,17]],"date-time":"2022-12-17T05:02:51Z","timestamp":1671253371000},"page":"353-357","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Delayed occurrence of traumatic aortic dissection? 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