Description: The fetal heart shows abnormal 4 chamber view, 4 chambers cannot be seen, there is abnormal size and axis. At this point the patient has to be referred for a level III fetal echo. Anyway after careful examination there is enlarged right atrium, I could not see the right ventricle although left ventricle is of normal size both aorta and the MPA arise from the left ventricle with the right pulmonary artery is seen, I could not see the left. These are a group of disorders under a common title of Double outlet left ventricle DOLV