Fetal echocardiography is the first-line imaging tool for diagnosing coarctation of aorta (CoA). Currently, there are some typical ultrasonic features, but no single one can be used for accurate prenatal diagnosis or differential diagnosis of fetal CoA and ultrasonic scoring system remains under investigation in diagnosing or risk classification of CoA. This paper reviews the progress in prenatal ultrasound diagnosis of fetal CoA.