86 year old female with a several month history of a painful non-healing ulcer over the lateral malleolus. This area is in the peroneal artery angiosome. Occlusions of the peroneal and posterior tibial artery were treated with orbital atherectomy. Ulcer healed within 1 month.
79 year old female with non healing ulcers. Occlusion of all three arteries in the calf.
82 year old male, heavy smoker, developed right heel ulcer during rehab after a femur fracture.
Nutcracker syndrome is one of the causes of secondary pelvic congestion syndrome.