A 65-yo male is being worked up for an elective umbilical hernia repair and found to have the following vascular disorder (See image). He is a smoker, has hypertension, diabetes, gout, eczema, and arthritis. He is on an inhaler, allopurinol, hydrochlorothiazide, and aspirin. He denies any symptoms. On presentation, his blood pressure was 165/95 with a pulse of 100. The patient is seen by the cardiologist and anesthesiologist. What is the best management for him?
A. Stent the lesion and perform umbilical hernia surgery later
B. Fix the umbilical hernia and only perform the vascular problem if patient has symptoms
C. Start him on beta blockers and perform elective surgery for the umbilical hernia
D. Do not fix the umbilical hernia
For answer & explanation-
https://www.youtube.com/watch?v=r4pKz1yji8w
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