Case Presentation

A 58 year-old man who recently underwent a left superficialfemoral artery thrombectomy presented with a three-day historyof worsening exertional dyspnea and bilateral pedal edema. Hispast medical history is significant for coronary artery disease,myocardial infarction, and insulin dependent diabetes mellitus.The patient initially presented to an outside hospital where hedeveloped ventricular tachycardia that warranted cardioversionthree times. Initial electrocardiogram showed inferior lead STsegment elevations and lateral lead ST depression.