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Key Clinical Message  Our patient was diagnosed as having discordant twin growth with Ebstein's anomaly in the larger fetus. Cardiac function was deteriorated in accordance with progression of gestational age. Our observation indicated cardiac failure of the larger fetus. The most important issue in this situation is management of the timing of delivery.

Monochorionic–diamniotic discordant growth in a twin pregnancy with one fetus affected by E bstein's anomaly of tricuspid leaflets