A case of 2 year old female, asymptomatic, was referred to this hospital in order that an abnormal radiological cardiac shape could be studied. Physical examination and ECG were normal. The 2-D ultrasound showed systolic deformation on the antero-lateral wall in the left ventricle, with an increased ecogenity and protrusion of the left earlobe to the left lung. A CT scan showed a defect of the pericardium at the same level. After the revision of the pericardium, we concluded that the use of an invasive test to diagnose this disease is not necessary, the 2-D ultrasound being enough to show the defect.
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