Abstract
We report the case of a 37-year-old woman with completel pericardial agenesis. A young female patient presented with a history of atypical chest pain. She was otherwise fit and well and medication free. Transthoracic echocardiography revealed unusual echocardiographic window, abnormal ventricular septal motion and an abnormal anteroposterior cardiac movement within the thoracic cavity. Computed tomography examination showed prominence of the main pulmonary artery and the interposition of the lung tissue between the aorta and the main pulmonary artery thus confirming the diagnosis. Pericardial agenesis is a rare anomaly, difficult to diagnose. Its evolution is usually benign. However, on rare occasions, partial defects have been the cause of sudden death.
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