@Mbrooke: if you have a fault on the primary of a star-start with NER (autotrafo / common NER), the potential rise on healthy phases will be about 73%, this potential will be transferred to the secondary (As the same neutral point).
If the primary is solidly earthed and the secondary is NER earthed, shouldn't be a problem.
you lose the economy virtue if the utility requires a fully insulated wye, this is usually required where non-effectively earthed systems are present as the neutral voltage can jump ( very true with NER on HV side)
The delta smaller current will have a smaller winding CSA by then, but you need to have another remote end with a neutral point so you can get good ground fault protection.