A 65-year-old smoker is seen in the vascular clinic complaining of left leg pain and cramps when he walks more than a 50 yards. He then has to rest for a few minutes before he can resume walking. He has a complex medical history; he has smoked 1 ppd for 40 years and drinks alcohol regularly. He is diabetic, hypertensive and 5 months ago suffered an acute myocardial infarction. ECHO revealed an ejection fraction of 30% with trace mitral regurgitation. He is on metformin, spironolactone, aspirin, hydrochlorothiazide and carvediol. This morning he had an angiogram (shown below). He would like to be able to walk more and resume an exercise program. What is the ideal treatment for him?
A. Aorto-iliac bypass
B. Aorto-bifemoral bypass
C. Flank incision and patch angioplasty of the lesion
D. Femoral-femoral bypass