Ebstein’s anomaly is considered one of the most common causes of congenital tricuspid regurgitation. It is usually associated with other anomalies such as atrial septal defects and accessory conduction pathways. The hemodynamic consequences and anesthetic implications for repair of Ebstein’s anomaly are challenging. Severe complicated cases of Ebstein’s anomaly usually manifest with significant tachyarrhythmia and hemodynamic derangement, leading to heart failure. This is a report of successful anesthetic management of a repair of Ebstein’s anomaly in a patient with coexisting Wolff–Parkinson–White syndrome.
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