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Pericardial tamponade in a 21-year-old female patient
  1. Damla Yalcinkaya,
  2. Mikail Yarlioglues,
  3. Sani Namik Murat
  1. Department of Cardiology, Ankara Training and Research Hospital, Ankara, Turkey
  1. Correspondence to Dr Damla Yalcinkaya, Department of Cardiology, Ankara Training and Research Hospital, Ankara 06230, Turkey; damlaykaya{at}gmail.com

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Clinical introduction

A 21-year-old female patient was admitted to the emergency department with a 1-month history of dyspnoea increasing over the last few days. Transthoracic echocardiogram demonstrated a massive pericardial effusion reaching 2.1 cm at its widest with right ventricular outflow tract diastolic collapse (online supplementary file 1). Urgent fluoroscopy-guided pericardiocentesis via the subxiphoid approach was performed. A total of 1000 cc of milky fluid was removed (online supplementary file 2). The laboratory results of the fluid revealed a triglyceride level of 592 mg/dL and an Lactate Dehydrogenase (LDH) level of 392 U/L. On physical examination, a swollen puffy face, jugular venous distention, and venous collaterals along the chest and abdomen were observed (online …

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