Unusual presentation of Takayasu's arteritis with cardiac involvement and renal artery stenosis

Takayasu's arteritis (TA) is a chronic large-vessel arteritis in which the aorta, its major branches, and the pulmonary arteries are affected. The clinical signs of TA are insidiously varied, depending on the arterial sites involved. In this paper, we report an unusual presentation of TA with signs and symptoms of heart failure and the involvement of the renal artery in a 34-year-old male who was managed with medical treatments and an interventional procedure. Given the unusual presentation of TA, we recommend a high clinical index of suspicion of renal artery involvement and sufficient heed to its significance especially in view of the fact that its early diagnosis and timely appropriate treatment can confer a much better prognosis.