A complex case of peripheral artery disease by suspected microembolization in a diabetic patient - the importance of a multidisciplinary approach (case report)

Background

The purpose of this article is to highlight the importance of in a case of peripheral arterial disease (PAD) with suspected microembolization, through the presentation of a complex clinical case involving a patient with a mechanical heart valve, anemia, and heart failure. The aim is also that of emphasizing the importance of the multidisciplinary approach to treating comorbid conditions, such as type 2 diabetes, in patients with PAD. Case Presentation: A 48-year-old diabetic and hypertensive man presented with rest pain and left forefoot gangrene. He was diagnosed with advanced PAD (Fontaine stage IV) with multiple comorbidities. Endovascular revascularization and optimized multidisciplinary management were performed, resulting in clinical improvement, increased walking distance, and regression to Fontaine stage IIA.