A 69-year-old man attends the vascular clinic complaining of cramping pain in the right calf after walking 150 yards. The pain is worse on an incline and is quickly relieved by rest. The pain comes back after walking the same distance. There is no history of trauma or previous surgery. 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 and is shown in the image attached (Angiogram of the right lower limb). PFA: Profunda femoris artery; SFA: Superficial femoral artery What is your diagnosis? *This case is from the Docplexus Editorial Team for educative purpose only. Source: 100 Cases In Surgery
