Treatment of postoperative esophageal leak by active drainage procedure (case report).

Postoperative esophageal leak is still a very serious and complex problem, which is associated with poor results, because of considerable morbidity and mortality rate. We described the case of successful treatment of suture line leak of 53 year old patient after resection of a big size epiphrenic diverticulum. Traditional right-sided transthoracic approach in 7th intercostal space with dissection, exposure and resection of diverticulum by stapler with 40F bougie within the esophagus was performed with reinforcement of suture line.

[Case of successful repair of penetrating cardiac injury].

The penetrating cardiac injury after the chest stab wound in 33 year old patient is described. The following clinical signs indicated suspected cardiac injury: localization of injury to the region of the heart, the signs of acute bleeding and cardiac tamponade, which was also confirmed by echocardiography. During urgent thoracotomy with additional sternotomy the right ventricle injury of 1,5 cm of length was found, which required 5 stitches for repair of defect and complete hemostasis.