Takayasu Arteritis Causing Aortitis and Aortic Regurgitation: A Totally Tubular Case Report

•Echocardiography is the first-line test to diagnose the presence and cause of AR.•Acute aortic syndromes should be excluded in patients with AR and a thickened aortic root.•Multimodal imaging with cardiac CT and MRI complement TTE and TEE to diagnose secondary causes of AR.•Aortitis is a potentially life-threatening disease, and is a rare cause of AR. Echocardiography is the first-line test to diagnose the presence and cause of AR. Acute aortic syndromes should be excluded in patients with AR and a thickened aortic root. Multimodal imaging with cardiac CT and MRI complement TTE and TEE to diagnose secondary causes of AR. Aortitis is a potentially life-threatening disease, and is a rare cause of AR.