Fig 2.

(A) Complete operative exposure with bypass circuit (RCFV access and RAA), suprasternal, and midline transperitoneal incisions. (B) Abdominal aortic exposure through transperitoneal approach (white arrow notates cephalad direction). (C) Close up of suprasternal incision used to obtain control of the great vessels to prevent backbleeding. (D) Completion of aortic repair with left renal bypass (white arrow notates cephalad direction). RAA, Right axillary artery; RCFV, right common femoral vein; RRA, right renal artery; LRV, left renal vein; SMA, superior mesenteric artery.