'Right atrial-jugular vein graft bypass' for treatment of superior vena

Superior vena cava syndrome from protein S deficiency was diagnosed in a 32 year-old female. A three month period of medical treatment did not relieve her symptoms. We performed a "right atrial-jugular vein graft bypass" which relieved her symptoms within 10 days. The patient did not develop any complications in the 18 month postoperative period. We present this case with a review of the relevant literature.