[Ebstein's anomaly observed in an adult patient]

The Epstein's anomaly--a congenital heart disease--is an exceptional rarity in medicine and cardiology. A case of this anomaly is described. The patient was admitted to hospital with cardiac and neurologic complaints. The accompanying Wolf-Parkinson-White (WPW) syndrome type B created diagnostic difficulties concerning the basic diagnosis. The lipothymic states in childhood, the presence of cyanosis, bulging neck veins, divided I cardiac tone, systolic murmur at the cardiac apex and the conduction anomaly directed the diagnostic thinking towards a congenital heart disease of the right cavities.