An Unusual Presentation of Right Atrial Myxoma: A Case Report.

A right atrial myxoma extending to the inferior vena cava with associated right-to-left shunting leading to systemic desaturation is an exceedingly rare clinical entity. The number of cases reported in the literature to date is not more than five. This case study presents a 45-year-old female who was referred to our center with symptoms of breathlessness, easy fatigability, generalized weakness, and central cyanosis. On routine blood investigation, polycythemia was detected. On preoperative 2D-transthoracic echocardiography, the diagnosis of right atrial mass was confirmed but the reason for cyanosis was not revealed. A tumor thrombus in a branch of the right lower pulmonary artery with a small locoregional pulmonary infarct along with right atrial myxoma was reported in computed tomography angiography of the heart and great vessels. On-table transesophageal echocardiography showed patent foramen ovale (PFO) with right-to-left shunting because of raised right atrial pressure and dynamic obstruction of the tricuspid valve by the mass. The myxoma was resected completely via right atrial approach along with primary closure of PFO. Postoperative period was uneventful, and the patient was discharged on day seven. At three-month follow-up, the patient was doing well.

Medical devices associated adverse events under Materiovigilance Programme of India in a Tertiary Care Hospital of Tribal District of Odisha

For definition, a medical device can be an instrument, apparatus, machine, implant, regent, IVD, software, or assisted material intended to be used alone or in combination, for human beings, for one or more medical purposes of diagnosis, prevention, treatment, and monitoring of an injury or a disease or investigation, replacement, modification, treatment, monitoring, and support of an anatomical or physiological condition for supporting and sustaining life, controlling conception by means of in vitro examination, or intending action by pharmacological, immunological, and metabolic in or on of human body. There was no proper system for the regulation, manufacturing, export, import, sale, and distribution of medical devices. [...]the Government of India, in collaboration with the Drugs Technical Advisory Board, recently brought out the Medical Device Rules 2017. [1] The following medical devices and in vitro diagnostics are currently regulated in India: Cardiac stents, drug-eluting stents, catheters, heart valves, orthopedic implants, intraocular lenses, intravenous cannulae, bone cements, ablation devices, internal prosthetic replacements, intrauterine contraceptive devices, condoms, tubal rings, umbilical tapes, blood sera, scalp vein sets, ligatures, sutures, staplers, surgical dressings, disposables syringes, hypodermic needles, perfusion sets, and in vitro diagnostic tests for human immunodeficiency virus, hepatitis B surface antigen, and hepatitis C virus. [13] As we are all aware, various medical tools are being used during this coronavirus pandemic, which also gives rise to a number of ADRs related to gloves, masks, sanitizer, swap kits, pulse oximeters, and other equipment. [...]the MvPI-IPC has introduced a specific PPE form for accurate data collection)14 Reports received from hospitals, health-care professionals, and manufacturers are documented.