During a large burn the position of the maneuvre node on the navball shifts around meaning that burns that significantly change the direction of the craft aren't executed as expected.
Impact
Large accurate burns are impossible.
Reproduction
This affects every maneuver to some extent but can be very clearly with the following reproduction
Place a craft with a high TWR into a 100 km equatorial circular orbit of kerbin. (I used a mod to get my test craft into orbit)