Tiffany & Co. RARE NY Twisted Heart Italy Sterling Silver Pendant Necklace BEAD

Tiffany & Co. RARE NY Twisted Heart Italy Sterling Silver Pendant Necklace BEAD.
Heart measures 23x23MM
Beaded Tiffany necklace 18” long
Chain is 1mm wide
Does not include pouch

Overall in good condition. Please see all pictures.