Pericardial tamponade in a 21-year-old female patient
Autor: | Sani Namik Murat, Damla Yalcinkaya, Mikail Yarlioglues |
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Rok vydání: | 2019 |
Předmět: |
medicine.medical_specialty
medicine.diagnostic_test business.industry medicine.medical_treatment Physical examination Emergency department 030204 cardiovascular system & hematology medicine.disease Pericardial effusion Surgery 03 medical and health sciences 0302 clinical medicine medicine.anatomical_structure Pericardiocentesis medicine Ventricular outflow tract Abdomen 030212 general & internal medicine Tamponade Transthoracic echocardiogram Cardiology and Cardiovascular Medicine business |
Zdroj: | Heart. 105:1634-1681 |
ISSN: | 1468-201X 1355-6037 |
DOI: | 10.1136/heartjnl-2019-315738 |
Popis: | 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 … |
Databáze: | OpenAIRE |
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