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Nortley M et al. – 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. 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.


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