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A shaggy aorta is usually a very diseased and calcified aorta. The atheroma or the thrombus in the aortic wall may embolize to the brain (causing stroke), to the visceral arteries (causing abdominal pain due to intestinal ischemia), to the renal arteries (causing flank pain and hematuria), or the extremities (causing painful spots in arms and legs). In case of recurrent embolization, an endovascular or surgical procedure may be necessary to obviate/reduce the risk of further embolization of aortic plaque.