Fig 1.

A, Preoperative photograph of the left foot showing that the first, second, and fourth toes had been amputated and that a huge ulcer and gangrene had not healed. B, Computed tomography angiogram (CTA) demonstrating total occlusion of both left superficial femoral and popliteal arteries. The left (Lt.) common femoral artery to posterior tibial artery bypass with an expanded polytetrafluoroethylene (ePTFE) graft was occluded. However, the tibioperoneal trunk to posterior tibial artery bypass with a great saphenous vein graft was patent.