ABSTRACT

A 69-year-old patient presented with symptoms of lifestyle-limiting, bilateral, lower extremity claudication. On examination, the femoral pulses were diminished bilaterally and the dorsalis pedis pulses were unobtainable. During the evaluation of an ischemic cardiomyopathy (ejection fraction 25%), an abdominal aortogram demonstrated bilateral aortoiliac stenoses. The patient was referred for elective percutaneous revascularization.