Figure 2: Thickened echogenic tricuspid valve. Almost obliterated right ventricle.

Figure 3: 3-vessel view, small pulmonary with reversal of flow in pulmonary - ductus dependent flow

Figure 4: 3D inversion mode of chest and showing aortic arch, ductal arch not visible, flow from umbilical artery, portal, ductus venosus joining to inferior vena cava & right atrium seen.

Video: Showing atretic tricuspid valve, thick echogenic, not opening at all, no flow through tricuspid valve. Flow from right atrium to left ventricle and right ventricle; intact intraventricular septum was noted.

Prognosis explained, need for post delivery NICU care & cardiology opinion was explained. Karyotype was not suggested.Patient opted for termination & lost for follow up. The fetus was not available for autopsy.