A 62-year-old male with a PMH of polycythemia vera presents…
A 62-year-old male with a PMH of polycythemia vera presents to the Emergency Department complaining of sudden onset of pain and paresthesia of the left leg which began 1 hour ago. Physical examination reveals the left lower extremity is cool to the touch and the toes are cyanotic. The popliteal pulse is absent by palpation and Doppler. The left femoral pulse is absent by palpation but weakly present by Doppler. The right upper and lower extremity pulses are 2+/4+ throughout. Which of the following conditions is the most likely cause of this patient’s symptoms?