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An unusual case of acute heart failure

Takayasu’s arteritis is a large vessel vasculitis of unknown etiology affecting predominantlyyoung women. This case report describes an atypical presentation of this disease in a 49-yearoldCaucasian woman who presented in acute congestive heart failure. Workup showedocclusion and stenosis of multiple branches of the aorta, including the left subclavian, rightrenal, celiac artery, and superior mesenteric artery. She had moderate aortic regurgitation, ananeurysm of the ascending aorta, and a severely reduced ejection fraction of <20%. Clinicaland radiographic improvement occurred following prompt immunosuppressive treatment withcorticosteroids.