Open repair of Superior Vena Cava Syndrome with High Intracranial Pressures using an 'Y' graft.

We present the case of a young patient with benign superior vena cava (SVC) syndrome resulting from a complex autoimmune disease. Initial attempts of endovascular repair were unsuccessful. Subsequently, an open bypass of both innominate veins was performed with a cryopreserved femoral arterial 'Y' graft. This was a challenging case due to the combination of complex comorbidities and severe tissue fragility which made the intervention technically difficult. The postoperative recovery was uncomplicated and at 6 weeks follow-up, the patient reported a complete remission of her preoperative symptoms.