Cross sectional echocardiographic appearance in presumed congenital absence of the left pericardium

An unusual and new cross sectional echocardiographic feature, bulging of the inferior left ventricular wall during diastole, is described in a 35 year old woman with congenital total absence of the left pericardium. The diagnosis was made on the characteristic clinical, electrocardiographic, echocardiographic, and radiological findings.