case_images: PMC11753221_01
case_images: The initial presentation of left foot at the time of admission (A); CTA scan revealed emboli in the posterior basal branch of pulmonary artery to right lower lobe (as marked by the red arrows) (B); acute limb ischemia in right lower limb despite on anticoagulation therapy (C). Transtibial transport (TTT) in the right lower limb was done and the tissue perfusion was restored which reversed the hallux necrosis (D).
case_images: fmed-11-1481388-g002.jpg
case_images: PMC11753221_01_fmed-11-1481388-g002.jpg
case_images: F2
case_images: A 70-year-old Chinese man presented with chronic foot ulceration with multiple gangrenous toes (Figure 2A), on the background of poorly controlled type 2 diabetes mellitus (T2DM), peripheral arterial disease (PAD) and left 5th toe amputation. One week following BKA, the patient developed thromboembolic (TE) events; emboli was in the posterior basal segment of the pulmonary artery to the right lower lobe on computed tomography Angiography (CTA) (Figure 2B), and acute limb ischemia (ALI) in the right first toe (Figure 2C). TTT over traditional endovascular or open vascular interventions. The pulmonary emboli (PE) were successfully removed and right first toe return to normal (Figure 2D).