Case 7-1962

Abstract

Presentation of Case First admission. A sixty-two-year-old woman entered the hospital because of peripheral vascular disease.She had a long history of intermittent claudication, and four years before entry a transmetatarsal amputation was performed because of arteriosclerotic gangrene of the right first toe. One year later she was admitted to another hospital because of an episode of "indigestion" and was treated for coronary thrombosis. One year before admission, because of occlusion of the left superficial femoral and popliteal arteries, with impending gangrene of the left first toe, a left-common-femoral-to-popliteal arterial-by-pass Dacron-Teflon graft was inserted, and an endarterectomy of the left . . .