Supraceliac exposure is demonstrated. The approach is left retroperitoneal with the left kidney elevated. The left renal artery (solid arrow), superior mesenteric artery (dashed arrow), and the celiac artery (vessel loop around) are controlled. The distance between the renals and the visceral arteries is small, and often placing a clamp between them is not practical. These aspects of the suprarenal anatomy are some of the important information gained on the lateral aortogram.