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Surgery Arterial Disorders 078c7464

The angiogram depicted below is most typical of the patient whose history includes

A
Cigarette smoking
B
Alcoholism
C
Hypertension
D
Diabetes
High-Yield Explanation
The angiogram presented in the question demonstrates an isolated segment of atherosclerotic occlusion of the superficial femoral artery. Patients who have isolated femoropopliteal disease tend to be smokers, whereas those who have isolated tibioperoneal disease frequently are diabetic. Hypertension and hyperlipidemia predispose to accelerated atherosclerosis. On the other hand, type I hyperlipoproteinemia (hyperchylomicronemia), which is associated with dramatic levels of plasma triglyceride and formation of xanthomas, does not cause accelerated vascular disease.

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