Left innominate vein creation using left internal jugular vein tunneled to right internal jugular vein

• DOI: 10.1111/jocs.14654
• Publication Date: 2020-07-11T21:40:09Z
• Authors: Maxwell F. Kilcoyne; Chi Chi Do‐Nguyen; Achintya Moulick; Nandini Madan; Vicki Mahan; Susan Conley; Paul S. Brady; Eric D. Endean; Randy M. Stevens
• Keywords: Internal jugular vein; Hemodialysis Catheter; Jugular vein

Background Left innominate vein occlusion is a known complication of pacemaker and central venous catheter placement. For dialysis-dependent patients with an arteriovenous fistula (AVF), this can prevent successful hemodialysis may require surgical intervention. Case Report An 8-month-old male was diagnosed hemolytic uremic syndrome became at 11 months age. After multiple vascular access peritoneal dialysis complications, the patient had construction brachiobasalic AVF in his left arm 13 years old. While waiting for to mature, attempt remove previously placed subclavian port-a-cath unsuccessful follow-up imaging revealed that vessel become occluded. The remained patent, but due swelling obstruction, not accessible. Multiple attempts percutaneously cross were referred At 15 old, taken operating room transposition internal jugular (LIJ) right (RIJ). LIJ transected under mandible anastomosed RIJ. Subsequently underwent VWING insertion rather than constant site dialysis. Although he has required frequent transcatheter dilation LIJ-RIJ anastomosis, successfully dialyzed using 5 years. received cadaveric renal transplant 20 days. Conclusions In cases stenosis, transposing create new alleviate hypertension preserve function. This procedure avoids sternotomy only requires one anastomosis.