The authors present a novel surgical treatment of a complex dialysis-dependent pediatric patient by transposing the left jugular vein to the right jugular vein when faced with left innominate vein occlusion refractory to attempts of transcatheter recanalization. Learn more: https://www.ctsnet.org/article/neo-innominate-vein-creation-using-left-internal-jugular-vein-complex-dialysis-dependent The Cardiothoracic Surgery Network (CTSNet) connects the global cardiothoracic community through communication, collaboration, education, and interaction amongst cardiothoracic surgeons and their teams across the globe. CTSNet provides a broad range of video and text-based educational content, the premier job board across all of cardiothoracic surgery, profile pages for cardiothoracic surgeons and individuals associated with the specialty, and a calendar of events related to the specialty.