Wide complex tachycardia in an elderly woman due to Ebstein’s anomaly with two accessory pathways

Key Teaching Points•Despite risk factors, not all wide complex tachycardias are ventricular tachycardia, and judicious attention to electrocardiograms and imaging may reveal other pathologies.•Diagnosis of Ebstein’s anomaly is made via imaging of apical displacement of the septal tricuspid leaflet ≥0.8 cm/m2 relative to the anterior mitral leaflet insertion.•Nearly 50% of patients with Ebstein’s anomaly have multiple accessory pathways. •Despite...