Acute Traumatic Aortic Transection (ATAT) is a dramatic event related to extremely high mortality. Transluminal Endovascular Aortic Repair (TEVAR) is currently the preferred Strategy for such lesions and offers an alternative to open surgical repair.In this article we discuss the case of a 21-year old woman who suffered from an ATAT of the aortic isthmus along with multiple fractures and visceral lesions during a car accident. Three years after the endovascular repair of the aorta our patient became pregnant. The pregnancy evolved without any complications, but since no spontaneous labour occurred, and the patient refused labour induction, we decided to perform an elective caesarean section at 41 week. To our knowledge, this is the first case described in literature of a patient undergoing a caesarean section after TEVAR for ATAT.