A 24 weeks pregnant woman, first pregnancy, with-out obstetrical risk, was sent to the National Refer-ence Center for diagnosing congenital heart disease, for a suspicion of a structural alteration of the fetal heart. A fetal echocardiogram was carried out and the presence of a thickened aortic valve, with limi-tations in the opening (Panel A, the arrow indicates the aortic valve) was perceived when observing the long axis of the left ventricle. This image led to think about the possibility of an aortic stenosis, which was observed by using the color Doppler superimposed to the bidimensional image, where the presence of turbulent flow in systole (Panel B) could be seen, accompanied by a retrograde flow in diastole, which also indicated the presence of an aortic insufficiency (Panel C). After delivery, the double valve lesion in question was confirmed, with predominance of in-sufficiency, not a frequent illness in a newborn.
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