PMC9533806_01
Arterial duplex of left lower extremity. Arterial flow not visualized in: (A) Left profunda artery (B) Distal left popliteal artery (C) Proximal left posterior tibial artery (D) Left dorsails pedis artery.
jchim-12-04-102f1.jpg
PMC9533806_01_jchim-12-04-102f1.jpg
f1-jchim-12-04-102
An arterial duplex study revealed left common femoral artery velocity of 200-400 cm/s, consistent with a 50%-75% stenosis (moderate occlusive disease) and inability to visualize arterial flow in left profunda, distal left popliteal, proximal left posterior tibial and left dorsalis pedis arteries (Fig. 1).
Appearance of distal left lower extremity with gangrenous changes requiring trans metatarsal amputation.
jchim-12-04-102f2.jpg
PMC9533806_01_jchim-12-04-102f2.jpg
f2-jchim-12-04-102
She was followed by the limb salvage team for her left foot (Fig. 2) and underwent transmetatarsal amputation.