Complete Left Pericardial Agenesis associated with Ventricular Septal Defect

9 years old male patient admitted to our department with complaints of recurrent respiratory tract infection since 2 years of age. No History of cyanosis His left eye is absent and it was the abnormality at birth. On physical examination, there was no cyanosis or clubbing. Left eye Enopthalmous was present. Pulse rate was 88 per minute and regular. Blood pressure on Right upper limb in sitting position was 100/60 mm Hg. Apical impulse was displaced and prominent down and out with prominent systolic thrill. On Auscultation, fi rst and second heart sounds were normal and 4/6 pan systolic murmur was heard on the left lower border of the sternum.