50 years old female patient with a history of fever,
weight loss, arthralgia and increased ESR presented with
transient loss of consciousness. After ECG Holter monitoring
and EEG evaluation, that excluded arrythmic and neurologic et
iologies, she underwent US vascular examination followed
by MR angiography of the aortic arch, which showed almost
complete occlusion of all main aortic branches (Fig. 1).
A conventional thoraco-abdominal aortic angiography confirmed
the MR findings and showed no other significant vessel
stenosis/occlusion. In spite of the surgical indication,
the patient refused to be surgically treated.