Two balls around aortic root: multiple huge unruptured aneurysms of the Valsalva sinus.

with a congenital complete left-sided pericardial defect. Jpn J Thorac Cardiovasc Surg 2001;49:317–9. 56. Risher WH, Rees AP, Ochsner JL, McFadden PM. Thoracoscopic resection of pericardium for symptomatic congenital pericardial defect. Ann Thorac Surg 1993;56:1390–1. 57. Chatzis AC, Giannopoulos NM, Sarris GE. Isolated congenital tricuspid insufficiency associated with right-sided congenital partial absence of the pericardium. J Heart Valve Dis 2004;13:790–1. 58. Messner GN, Prendergast P, Wadia Y, Chu T, Gregoric ID, Flamm SD et al. Congenital absence of anterior pericardium at left ventricular assist device implantation. Tex Heart Inst J 2004;31:87–9. 59. Breitbart RE. Pericardial diseases. In: Keane JF, Lock JE, Fyler DC, eds. Nadas’ Pediatric Cardiology. Chapter 27. 2nd ed. Philadelphia: Saunders Elsevier; 2006. p463. 60. Skalski J, Wites M, Haponiuk I, Przybylski R, Grzybowski A, Zembala M et al. A congenital defect of the pericardium. Thorac Cardiovasc Surg 1999;47:401–4.