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This article briefly summarizes a case of fibromuscular dysplasia (FMD) with extensive carotid involvement, dissections, aortic aneurysm and stroke. The article also discusses the angiographic findings and reviews the relevant literature. The interesting feature of this case is aneurysm in the ascending aorta and aortic dissections, which may be possible signs of the involvement of these arteries in FMD. FMD is an uncommon vascular disease characterized by increased muscular and fibrous tissue in the arterial wall, which results in alternating dilation and narrowing of vessel segments.