BACKGROUND: Congenital rubella syndrome (CRS) affects  thousands of children in the developing world because rubella vaccination is not routinely available in most of these countries. Among its many manifestations, congenital heart disease is life threatening. CASE DETAILS: A 9-month-old infant presented with whitish lesions over her left eye. She was evaluated with echocardiography that revealed peripheral pulmonary stenosis and patent ductus arteriosus. She had severe acute malnutrition and clinically confirmed congenital rubella syndrome (CRS). There was no available serologic test to confirm the diagnosis. CONCLUSION: This case was presented to demonstrate typical dual features of CRS by echocardiography and to emphasize the benefit of vaccination to prevent deleterious complications from congenital rubella syndrome.  KEYWORDS: Congenital rubella syndrome, PDA, peripheral pulmonary stenosis