<prompt> 74yr old female was diagnosed to have rheumatic hea disease. She underwent valve replacement surgery, after few days she staed to complain of numbness and inability to move her left leg. Femoral, popliteal pedal impulses were not felt on left side of pt. but . side examination of lower leg was normal. What is most appropriate management in this patient?CT angiogram of bilateral lower extremitiesEmbolectomy of the left femoral aeryDuplex imaging of the left lower extremity aeriesCT angiogram of the left lower extremity  <response>: It is a case of Acute aerial insufficiency leading to neurological compromise Other non invasive testing is not required Duplex scanCT Angiography as they will delay the treatment process. Embolectomy of femoral aery can be performed under local anesthesia and has minimum risk to pt. Exploration of contralateral side is not required in absence of signs and symptoms of other side. 