A 36-year-old Gravida 2, Para 1 woman at 34 weeks’ menstrual age was referred for a fetal echocardiogram in view of fetal hydrops detected by obstetric sonography. She gave a history of consanguineous marriage and her first child was healthy. Fetal echocardiogram (four-chamber view) performed revealed findings consistent with Ebstein's anomaly; a downward displacement of septal leaflet of the tricuspid valve, which were tethered to the muscular part of ventricular septum, right ventricular atrialisation, a small effective right ventricular cavity and cardiomegaly (figure 1). The echocardiogram also showed severe tricuspid valve regurgitation (TR). Figure 1 Fetal echocardiogram (four-chamber view) (left) shows downward displacement of septal leaflet of the tricuspid valve, right ventricular atrialisation, a small effective right ventricular cavity and cardiomegaly. Blue oblique line denotes the length of STL displacement from AML. …