TY - JOUR T1 - Pericardial tamponade in a 21-year-old female patient JF - Heart JO - Heart SP - 1634 LP - 1681 DO - 10.1136/heartjnl-2019-315738 VL - 105 IS - 21 AU - Damla Yalcinkaya AU - Mikail Yarlioglues AU - Sani Namik Murat Y1 - 2019/11/01 UR - http://heart.bmj.com/content/105/21/1634.abstract N2 - 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 … ER -