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Acral livedo racemosa after endovascular procedure

A 90-year-old woman with history of atrial fibrillation and severe aortic stenosis presented with asymptomatic cutaneous lesions on both soles of the feet 7 days after a transcatheter aortic valve implantation (TAVI) through the femoral artery. Physical examination revealed purpuric linear macules with a retiform arrangement, predominantly on the right sole (Fig. 1). There were no palpable or necrotic lesions, and pedal pulse was present. The patient did not present fever or other systemic symptoms. Routine laboratory tests only showed increased C-reactive protein without eosinophilia or any other significant abnormalities.