3. Ebstein anomaly:
Low risk pregnancy, no history of Lithium, 15 weeks:
At the first glance, it looks like normal four-chamber view.
Through a more profound examination, there is a small echogenic "step" apical in the septum (arrow).
In the color mode, there is a severe regurgitation from almost near the apex arrow (in tricuspid regurgitation, the origin of the regurgitation is usually from the level of the AV line).
At 23 weeks, the classical appearance of the Ebsteins with atrialization of the right ventricle, the arrow showing the septal low inserted valve.
The couple decided to terminate the pregnancy and the anomaly was proved by the autopsy.
Video clip 8-10: