Gray scale and color duplex ultrasound showing reflex with the valsalva maneuver at the saphenofemoral junction (SFJ). Note the valve leaflets on the left image never oppose one another.
71 year old female with a non healing ulcer on the left foot.
79 year old female with non healing ulcers. Occlusion of all three arteries in the calf.
Nutcracker syndrome is one of the causes of secondary pelvic congestion syndrome.