The patient was a 78-year-old female with noninsulin-dependent diabetes, hypertension, and significant coronary artery disease. She presented with an ulceration on her left third toe. She had noninvasive flow studies, which revealed poor flow to her feet and the ankle brachial index was 0.23. This patient was not a bypass candidate due to medical comorbidities. It was decided to perform an angiogram. Her family history was unknown.