Case Report: Giant cholesterol granuloma in the anterior mediastinum

Cholesterol granuloma is a rare entity, which can develop in many regions of the body, accounting at most 1% of all mediastinal tumors. Etiology of this granuloma is still not clearly understood. The gold standard choice of treatment for cholesterol granuloma is total surgical resection. Symptomatic mediastinum granuloma can be easily diagnosed, but if mass effect is not evident then diagnosis of this tumor is really challenging. We present a rare case of huge cholesterol granuloma in the anterior mediastinum of the patient who underwent on elective coronary artery graft bypass surgery

Impact of the poly(propylene oxide)-b-poly(dimethylsiloxane)-b-poly(propylene oxide) macrodiols on the surface related properties of polyurethane copolymers

Segmented thermoplastic polyurethane copolymers (PURs) were synthesized using 4,4'-methylenediphenyl diisocyanate and 1,4-butanediol as the hard segment and alpha,omega-dihydroxy-poly(propylene oxide)-b-poly(dimethylsiloxane)-b-poly(propylene oxide) (PPO-PDMS) as the soft segment. The content of incorporated soft segments in PURs varied in the range from 40 to 90 wt.%. The structure, molecular weights and crystallinity of obtained copolymers were monitored by FTIR, H-1- and 2D-NMR spectroscopy, and GPC and DSC analysis, respectively. Surface free energy analysis indicates the presence of hydrophobic (siloxane) groups on the surface, giving highly hydrophobic nature to the obtained PURs films. Water absorption measurements showed that the increase of the hydrophobic PPO-PDMS segment content led to the decrease of percentage of absorbed water in copolymers. SEM and AFM analysis revealed that copolymers with lower content of PPO-PDMS segments have higher microphase separation between segments. The results obtained in this work indicate that synthesized PURs based on PPO-PDMS demonstrated proper surface and morphological properties with a great potential for variety of applications such as hydrophobic coatings in biomedicine

Influence of Three Different Surgical Techniques on Microscopic Damage of Saphenous Vein Grafts—A Randomized Study

Background and Objectives: The saphenous vein is one of the most common used grafts (SVG) for surgical revascularization. The mechanism of the SVGs occlusion is still unknown. Surgical preparation techniques have an important role in the early and late graft occlusion. Our study analyzed the influence of the three different surgical techniques on the histological and immunohistochemical characteristics of the vein grafts. Methods: Between June 2019 and December 2020, 83 patients who underwent surgical revascularization were prospectively randomly assigned to one of the three groups, according to saphenous vein graft harvesting (conventional (CVH), no-touch (NT) and endoscopic (EVH)) technique. The vein graft samples were sent on the histological (hematoxylin-eosin staining) and immunohistochemical (CD31, Factor VIII, Caveolin and eNOS) examinations. Results: The CVH, NT, and EVH groups included 27 patients (mean age 67.66 ± 5.6), 31 patients (mean age 66.5 ± 7.4) and 25 patients (mean age 66 ± 5.5), respectively. Hematoxylin-eosin staining revealed a lower grade of microstructural vein damage in the NT group (2, IQR 1-2) in comparison with CVH and EVH (3, IQR 2-4), (4, IQR 2-4) respectively (p p = 0.02, FVIII, p p = 0.001, and eNOS, p = 0.003). Conclusion: The best preservation of the structural vein integrity was in the NT group, while the lowest rate of leg wound complication was in the EVH group. These facts increase the interest in developing and implementing the endoscopic no-touch technique