Retroesophageal internal jugular-to-internal jugular vein bypass for venous occlusion in a patient with complex hemodialysis access.
This report describes a right-hand dominant, self-dialyzing patient whose left brachiocephalic autogenous access was previously rescued for left brachiocephalic vein thrombosis with a bypass to the right internal jugular vein (IJV). After 1 year, the left IJV thrombosed, resulting in painful edema and venous dilatation. A retroesophageal IJV-IJV bypass was created, preserving the left brachiocephalic autogenous access.
St George's Hospital Healthcare NHS Trust, London, United Kingdom.
Mei
M
Nortley
Andrew
A
Brett
Nicoletta
N
Fossati
Eric S
ES
Chemla
D000328:Adult; D001367:Axillary Vein / Q000601:surgery; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation; D016121:Brachiocephalic Veins / Q000601:surgery*; D004108:Dilatation, Pathologic; D004487:Edema / Q000209:etiology; D005157:Facial Pain / Q000209:etiology; D034381:Hearing Loss / Q000209:etiology; D006801:Humans; D007601:Jugular Veins / Q000000981:diagnostic imaging / Q000601:surgery*; D007676:Kidney Failure, Chronic / Q000628:therapy*; D008297:Male; D010690:Phlebography; D006435:Renal Dialysis; D012086:Reoperation; D016896:Treatment Outcome; D034941:Upper Extremity / Q000098:blood supply*; D014656:Vascular Surgical Procedures / Q000009:adverse effects*; D020246:Venous Thrombosis / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*