case report of a patient with tubal infertility treated by in vitro fertilisation and embryo trans- fer (IVF + ET) of 4 embryos is described. The patient presented with vaginal bleeding and lower abdominal pain and during emergency laparoscopy tubal heterotopic pregnancy was eliminated. The patient did well till term and delivered a 3450 g and 50 cm newborn with congenital valvular pulmonal artery stenosis. The incidence and treatment options of heterotopic pregnancies and influences of foetal outcome concerning congenital anomalies are discussed.

        Key words: heterotopic pregnancy, in vitro fertilisation and embryo transfer, emergency laparos- copic salpingectomy, congenital pulmonal valvular stenosis.