This paper presents an extremely rare and difficult case report of criss-cross heart (CCH) with a combination of cc-TGA and aortic coarctation of the fetal heart at 33 weeks of gestation. Despite very complicated heart anatomy, the proper perinatal care and early cardiac surgery allowed us to observe normal development of the child without any problems during his first six and ten months of postnatal life. The impossibility to: image proper four-chamber view, obtain parallel tricuspid and mitral valve, visualize symmetrical valve motion and laminar flow from the atrium to the ventricle might be the first clues to diagnose CCH.