Abstract
Mr Houston is an 84-year-old widower who resides in a privately run nursing home. He has a complex medical history and suffers from emphysema, chronic bronchitis, hypertension, transient ischaemic attacks and had a cerebrovascular accident in 1996. He presented to his local vascular clinic with left-sided chest pain resulting from extensive stenosis of the distal superficial femoral and popliteal artery.
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