Background: Takayasu arteritis is a rare large vessel vasculitis which predominantly affects young Asian females. Aortic regurgitation and heart failure are well described manifestations which are usually preceded by constitutional symptoms, limb claudication, pulse and blood pressure discrepancies, vascular bruits and features of organ ischaemia.
Case Presentation: A 25-year- old Sri Lankan female presented with a three days history of acute shortness of breath, cough and orthopnoea.