In Ebstein's anomaly, the problem is due to a downward displacement of the tricuspid valve mechanism into the right ventricle and this results in a very large right atrium that partially consists of ventricular tissue and a small right ventricle. This is a very rare lesion. An atrial septal defect and tricuspid regurgitation are usually present. Multiple clicks are also heard due to asynchronous closure of the tricuspid valve.
Ebstein's anomaly in wav format
Ebstein's anomaly in real audio format