Takayasu arteritis is a rare acquired cause of Sinus of Valsalva aneurysm (SVA) wherein adventitial and medial infiltration of inflammatory cells causes thinning of aortic wall with resultant bulging of thin walled aneurysms.1 The current case, in the setting of Takayasu arteritis, shows multiple unruptured SVAs with simultaneous involvement of right and left cusps of Sinus of Valsalva (SOV), a rare case presentation which to our best knowledge, has never been reported so far. A 34-year-old fema…