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11/16 x 9/16 inch two-tone satin and polished finish 18kt gold plated over sterling silver pierced heart miraculous medal on an 18 inch stainless steel gold plated chain. The pendant, shaped like a heart, is gold and features a silver oval with a figure of Mary on it in the center and carved out sides on the left and right. Surrounding Mary are the words, "O Mary, conceived without sin, pray for us who have recourse to thee." There are also diamond drag engraved details on the heart framing the oval. On the back of the oval in a brushed finish is the letter M, representing Mary, surmounted by a cross representing the sacrifice of Jesus, and surrounded by twelve stars that represent the twelve apostles.