The diagnosis of peripheral vascular disease is not traditionally emph
asized in many medical schools or primary care training programs. Inte
rest in this field has grown as our capability to intervene in periphe
ral vascular disease has increased as a result of coronary application
s of catheter based therapy. Understanding the vascular anatomy of the
lower extremities is only one part of treating patients with peripher
al vascular disease. Recognition or clinical symptomatology and awaren
ess of possible surgical options along with associated morbidity and m
ortality are paramount to choosing the best treatment options for pati
ents with peripheral vascular disease. The following case report illus
trates these concepts and an attempt to emphasize the need for further
training by cardiologists and other physicians interested in percutan
eous peripheral vascular techniques.