The case is reported of Ebstein's anomaly of the tricuspid valve with rheumatic mitral stenosis and aortic incompetence. In this extremely rare clinical entity, right ventricular dysfunction and respiratory dysfunction occur due to severe mitral stenosis and tricuspid regurgitation. The present case was managed with aortic and mitral valve replacement and Danielson's repair of the tricuspid valve. The general management issues of the condition are also discussed in detail.
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