To view the full text, please login as a subscribed user or purchase a subscription. Click here to view the full text on ScienceDirect. FiguresFig. 1Transesophageal echocardiography. Preoperative and postoperative respectively A–D) Valsalva Sinus aneurism; B–E) tricuspid aortic valve; C–F) severe aortic insufficiency.We reported this case with the aim to underline as, a semeiotic evaluation, with cardiac auscultation, at first antenatal visit, could be useful to identify cardiac disease.