An 18-year-old lady, a patient of Takayasu arteritis was referred to our hospital with a history of recurrent giddiness and resistant hypertension for 6 months. On examination, she had weak left carotid and left arm pulses and bilateral renal bruit. Investigations revealed bilateral renal artery stenosis with preserved renal size and architecture. Transthoracic echocardiogram (TTE) showed concentric left ventricular hypertrophy with ejection fraction of 50% and type I diastolic dysfunction. The aortic