Background:Congenital heart disease is a leading cause of infant morbidity and mortality from birth defects with an estimated incidence of 6-12 per 1000 live births. The objectives of the study are to evaluate the effectiveness of three-vessel view (3VV)and three vessel trachea view in assessment of fetuses with antenatally diagnosed congenital heart disease.Methods:Fetal echocardiography was done as a prospective study during April to September 2021 in 100 fetuses referred to our Radiology department with high risk and suspicion of congenital heart defects.Result:We found presence of congenital cardiac anomalies in 30 fetuses. The most common indication for Fetal echo was Echogenic intracardiac focus. The most common anomaly was Ventricular septal defect in 5 cases. Three vessel view was abnormal in 20 cases. Addition of three vessel view in fetal echo showed detection rate of 66.6%. Extracardiac anomalies were found in 14 fetuses.Conclusion:Routine fetal echocardiography enables the detection and characterization of most of the cardiac anomalies. Addition of outflow tracts and three vessel view enhances the detection rate significantly. With moderate sensitivity and high specificity, Fetal echocardiography is a reliable prenatal diagnostic tool with high accuracy. 3VV and 3VT view is a reliable method to determine abnormalities in the upper mediastinum and should be incorporated as an adjunct to outflow tract views in routine fetal cardiac screening.