Patient History: A 69-year-old man attends the vascular clinic complaining of a cramping pain in the right calf on walking 150 yards. The pain is worse on an incline and is quickly relieved by rest. The pain is then reproduced after walking the same distance. There is no history of trauma or previous surgery. Physical Examination: There are no skin changes in the right leg. The right femoral pulse is present but the right popliteal, dorsalis pedis and posterior tibial pulses are absent.
A bruit is audible over the right adductor canal. There is no abdominal aortic aneurysm and the rest of the examination is unremarkable. An angiogram is done (image attached). What are the most likely diagnosis and treatment for this patient? *This patient case is from Docplexus Editorial Team for educative purpose only. Source: 100 Cases In Surgery
