Man 70 yo in claudication with pain at right leg and right foot changes in dark skin (photo).
Vascular ultrasound:
US 1= normal left femoral artery and vein.
US 2= right femoral artery and vein in stenosis.
US 3= in middle of right thigh cannot find out superficial artery.
US 4= high flow of right dorsalis pedis artery.
Thermography shows the right leg in hypothermia.
MSCT angio of the leg arteries:
CT 1= big cysts in right/left kidneys and abdominal aorta with sclerosis plaque.
CT 2= right superficial femoral artery is in obstruction.
CT 3= small anastomosis at the level of right thigh.
Diagnosis = obstruction of right superficial femoral artery with many sites of deep and superficial anastomosis of femoral artery.
DSA shows complete obstruction of right superficial femoral artery (DSA 1)
DSA 2 = small anastomosis.
Operation removed blood clot and revascularization of the right leg. Patient remains well recovery.