Item #: 590672 This is an authentic TIFFANY Sterling Silver Elsa Peretti Open Heart Ring size 49 or 5. This classic ring is crafted of sterling silver and features an open heart motif at the center. Enjoy this ring for the signature look of Tiffany! Follow this item for alerts. Tiffany is a registered trademark of Tiffany. FASHIONPHILE is not affiliated with Tiffany.