Mitral valve abnormalities have been described in Ebstein's anomaly, but acquired rheumatic mitral valve disease is an extremely rare association. We describe a classical case of Ebstein's anomaly of tricuspid valve with severe rheumatic mitral stenosis. This patient had mild mitral regurgitation, pulmonary hypertension and atrial fibrillation.

Background and Objectives: Severe acute respiratory syndrome due to coronavirus (SARS-COVID-19) was declared as pandemic on March 12, 2020. Government of India declared a total lockdown from March 25, 2020. We report the trends in heart failure (HF) admissions to cardiac care units (CCU) of Ernakulam district of Kerala during lockdown period in comparison with the equivalent period of 2019. Materials and Methods: We conducted a retrospective multicenter observational survey to collect data on admissions for HF at CCUs of Ernakulam district in Kerala from January to May 15, 2020. Records were analyzed for admissions during the equivalent period of 2019. Trends in admissions during lockdown phases were analyzed separately. Results: We observed a reducing trend in the number of admissions with a diagnosis of HF from February 2020. During lockdown phase, a 25.4% reduction in the number of HF admissions was recorded as compared to the equivalent period of 2019. The decrease was evident during all three phases of lockdown. Hospitals located within Kochi Corporation Limits recorded 36.2%, 22%, and 22.9% decrease, respectively, during phases 1, 2, and 3 of lockdown period. There was no decrease in the number of HF admissions to centers located at the periphery during this period. Conclusion: This study confirms a reduction in the number of HF admissions during lockdown period. The decrease was more evident in centers located within metropolitan city limits.