Local calcification of the aortic arch wall mostly occurs in the intimal part of the vessel, as a result of recovery from damage to the vessel from various causes. Age, atherosclerosis, metabolic diseases and other factors can lead to such changes in the intima. The likelihood of aortic calcification increases with age, and the incidence is significantly higher in the elderly than in the young, and the diagnosis can be confirmed by imaging. Metabolic diseases are an important cause of aortic endothelial lesions. Metabolic diseases are the cause of aortic lesions, such as hyperlipidemia, which has a significantly higher incidence in patients, and hypertension, which is also a common cause. These factors can lead to damage to the vessel wall, injury, and increased local pressure leading to cell death and thus calcification. It is necessary to reduce sodium intake and fat content, increase vitamin and trace element intake, and ensure proper dietary fiber.