Aortitis includes conditions with infectious or non-infectious etiology, 
characterized by inflammatory changes in one or more layers in aortic wall. Age 
at onset, geographic predilections, distribution and pattern of involvement in 
aorta, its branches and pulmonary arteries, and systemic associations provide a 
clue to etiology. Clinical presentations are often non-specific. An integrated 
approach including clinical, laboratory and imaging assessment is essential to 
confirm diagnosis and plan treatment. Assessment of disease activity is the key 
as it influences timing and outcome of treatment. Markers of activity include 
clinical, laboratory and imaging. Medical management remains the first-line 
therapy. Revascularization is indicated in the presence of hemodynamically 
significant stenosis and inactive disease. In the presence of flash pulmonary 
edema, left ventricular dysfunction or hypertensive encephalopathy, 
revascularization is performed irrespective of disease activity. Endovascular 
management is favored over surgery due to its high success and low restenosis 
rates. Symptomatic aneurysmal disease is usually managed by surgery.