Case & Plan:
65-year-old female with a PMHx of CAD (s/p CABG x 4v + MVR in 2017), Ischemic Cardiomyopathy (EF 35% on TTE in 2017), IDDM, HTN, HLD, PAD (s/p multiple EVIs), former smoker, admitted for left great toe ulcer/eschar with bilateral SFA CTOs and below the knee disease.