Fachriza Haqi Ramadhan, Hermawan Susanto
Perinatal Journal - 2026;34(1):12-16
Peripheral artery disease (PAD) was one of COVID-19 complications, especially in diabetes mellitus (DM) patients. This case report illustrated a multidisciplinary therapeutic in critical limb ischemia (CLI) due to DM aggravated by COVID-19. A 59-year-old woman came to hospital due to pain and bluish in her left foot, which aggravate in 2 weeks. She also had pain and redness in her left foot. She had uncontrolled DM background. Her pulsation of tibialis posterior artery and dorsalis pedis artery were weakened, whilst the contra-lateral was not palpable. Her computed tomography angiography (CTA) found total occlusion due to thrombus in right and left popliteal arteries 6 cm and 12.7 cm long, respectively. After her COVID-19 converted negative, she had right popliteal artery thrombectomy (10 cm) and above knee amputation of the left inferior extremity, then she was getting better. Conclusion: Therefore, comprehensive evaluation of claudication could be the first step to prevent morbidity and mortality in PAD.
