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    Subjects/Anatomy/Abdominal Aorta, Portal System, and Gut Blood Supply
    Abdominal Aorta, Portal System, and Gut Blood Supply
    medium
    bone Anatomy

    A 58-year-old man from rural India presents to the emergency department with a 6-hour history of sudden-onset severe epigastric pain radiating to the back, associated with nausea and diaphoresis. Blood pressure is 92/58 mmHg, heart rate 118/min. Physical examination reveals a pulsatile abdominal mass. CT angiography shows a 6 cm infrarenal abdominal aortic aneurysm with rupture into the retroperitoneum. The surgeon notes that the aneurysm extends from just below the renal arteries to the aortic bifurcation. Which of the following branches of the abdominal aorta would be at highest risk of compromise during emergency repair of this aneurysm?

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