[Overview of primary sternal closure techniques]. / Prehled metod primárního uzáveru strední sternotomie.

The aim of the overview study is to describe the currently used methods of primary median sternotomy closure in adult cardiac surgery. In the review of published literature, we draw on the data and focus on the methodology, indications, advantages, limitations, biomechanical and clinical results of the different methods in relation to the incidence of deep sternal wound complications after median sternotomy in adult cardiac surgery.Key words: sternum sternotomy adult cardiac surgery surgical procedures.

[Surgical management of the abdominal aortic aneurysm in a patient with left-sided inferior vena cava and a functional solitary left kidney]. / Chirurgické resní aneuryzmatu abdominální aorty u pacientky s levostrannou dolní dutou zilou a funkcne solitárni levou ledvinou.

In a polymorbid female patient, an aneurysm of the abdominal aorta was discovered incidentally, necessitating admission to an angiosurgical department. On surgery, an additional problem was found, the left-sided inferior vena cava (a congenital anomaly of the venous system) as well as the juxtarenal aneurysm of the abdominal aorta. As the patient had a solitary functioning kidney, the resection of the aortic aneurysm was considered to be associated with unacceptable risk if performed at a standard department. Therefore, the patient was transferred to the Centre of Cardiovascular Surgery and Transplantations Brno where a resection of the aneurysm was performed. On resection, the perfusion of the solitary functioning kidney was maintained with organ preservation solution used in organ transplantations. The operation was uneventful, the postoperative course was complicated only by insignificant wound healing problems.