Complete SVC Obstruction due to Pacemaker Leads- now have Enlarged Collateral Veins

I am 79 y/o & am now totally dependant on Collateral chest veins carrying blood back to my heart, due to Pacemaker Leads completely blocking SVC.  My choice is to do nothing & depend on my collaterals, or have SVC By-Pass Surgery.  Has anyone been able to successfully live years without a patent SVC, or must I have By- Pass surgery?

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I am just now 40 but have had these blackouts all my life. I am thrilled with the pacer and would do it all over again.