We report on a patient with ankylosing spondylitis in association with mitral stenosis, mitral regurgitation, and aortic regurgitation. Despite extensive search of literature, we could not find association of mitral stenosis with ankylosing spondylitis. This report is the first to describe this association. Our findings are based on clinical and echocardiographic findings.

a b s t r a c t Cardiac rhabdomyomas are described as sporadic as well as associated with Tuberous sclerosis. Association with LVOT Obstruction with anorectal malformation or imperforate anus has not been reported so far in published literature. In this case report we describe one such case.