case_images: PMC11835120_01
case_images: Time courses of the clinical features of symmetrical peripheral gangrene. (A, B) Extensive purple lesions and ischemic areas are seen in the acral regions of all extremities on the sixth day after cardiac surgery. (C, D) The acral regions of all 4 extremities including all the fingers and toes evolved into severely necrotic areas on the 30th day after cardiac surgery.
case_images: medi-104-e41527-g001.jpg
case_images: PMC11835120_01_medi-104-e41527-g001.jpg
case_images: F1
case_images: The radial, ulnar, pedal, and posterior tibial pulses in the patient's extremities were normal on Doppler examination (Fig. 1A, B). A clinical diagnosis of SPG was made (Fig. 1C, D).