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14722 Surgery

A 60-year-old man is admitted to the coronary care unit with a large anterior wall myocardial infarction. On his second hospital day he begins to complain of the sudden onset of numbness in his right foot and an inability to move his right foot. On physical examination, the right femoral, popliteal, and pedal pulses are no longer palpable. Vascular consultation is obtained. Diagnosis of acute arterial embolus is made. Which of the following statements concerning this condition is true?

AAppropriate management would be embolectomy of the right femoral artery under general anesthesia
BNoninvasive hemodynamic testing is required
CProphylactic exploration of the contralateral femoral artery should be done despite the presence of a normal pulse
DThe source of the embolus is most likely the left ventricle (Correct Answer)