Abstract
A 35-year-old, nonsmoker, nondiabetic woman presented with severe left ventricular dysfunction and uncontrolled hypertension. The computed tomography angiography scan revealed chronic total occlusion of the aorta distal to the left subclavian artery origin, including the entire descending thoracic and abdominal aorta with distal reconstitution at the bilateral common iliac artery bifurcation (Fig 1).
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