We present a case of tricuspid annulus calcification, documented by fluoroscopy, chest X-ray and cross sectional echocardiography. This case is interesting for two reasons: 1) Tricuspid annulus calcification is extremely rare and very few cases have been reported. 2) It is the third case described where two-dimensional echocardiography established the diagnosis of this very rare condition. Previously reported cases of tricuspid annulus calcification are reviewed.

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