Male, 77-years, came to emergency with 5-day history of progressive dyspnea. A 2/6 holosystolic apical murmur was present, numerous rales in both lungs, and prolonged expiration. Neither edema nor distended jugular veins were present.
No pulse could be felt in the right femoral artery and the peripheral arteries of both of the legs. Patient History: He underwent back in 2011 triple-vessel coronary artery bypass grafting in New York. He was a smoker and he also had peripheral arteriopathy, chronic obstructive pneumonopathy, and diabetes mellitus type II.