CTICasesPresumed Takayasu Arteritis (Extensive Aortic Vasculitis)
Imaging findings
CTA demonstrated extensive, robust, continuous, and circumferential calcification of the aorta, involving the ascending aorta, arch, and descending aorta down to the abdomen. Multiple aneurysms were present, along with severe stenosis of the arch vessels, including the carotid, proximal subclavian, and vertebral arteries.
Key takeaways
This pattern of very robust, continuous aortic calcification, multiple aneurysms, and severe stenosis of arch vessels, particularly in a patient in their 60s, is highly suggestive of an extensive vasculitis like Takayasu arteritis (possibly burned out) or giant cell arteritis, rather than typical atherosclerotic disease. Syphilis could also be considered for bark-like calcification.
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