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A 24-year-old women presented with low-grade fever and fatigue for 6 months. She noticed a pulsating swelling in her left anterior cervical region. She had absent pulses in the right upper limb and severely diminished pulses in the left upper limb. She had an elevated erythrocyte sedimentation rate (ESR; 109 mm/hour) and C reactive protein. Digital subtraction angiography (figure 1A–C) showed ectatic right common carotid artery, 90% ostial stenosis at the origin of the right subclavian artery with distal aneurysmal dilatation. Left common carotid artery showed 90% stenosis followed by multiple aneurysmal …
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