A 58-year-old female was suffering from recurrent pericardial effusion requiring repeated pericardiocentesis for 3 years. Transthoracic echocardiogram was performed displaying normal left ventricular function, preserved ejection fraction, and pericardial effusion of 13 mm in front of left atrium (LA) with signs of compression. The chest CT demonstrated a pericardial bleeding directly next to the visceral pericardium close to the origin of the pulmonary artery. Histopathological investigation confirmed the diagnosis of a pericardial hemangioma. Immunohistology revealed a small capillary hemangioma without any signs of malignancy.