The literature relating to situs inversus viscerum and bronchiectasis is reviewed. A case is reported of the condition in a South African native with congestive cardiac failure, a large pulmonary artery and renal anomalies. Congenital heart lesions in situs inversus are discussed and it is concluded that the heart failure in the case descriptionbed is due to chronic cor pulmonale. The mode of inheritance of Kartagener's triad and of the renal malformations is discussed. The occurrence of complete and incomplete forms of the condition is noted. The significance of a congenital factor in bronchiectasis in general is emphasized.
Two cases of probable coronary thrombosis with infarction are descriptionbed together with their electrocardiographic findings. A review of the literature shows opposing schools of thought with regard to the incidence and symptomatology in this disease. The difference appears to lie in the fact that many cases go undescriptionbed because of the lack of symptoms. In Africans it is felt that the dietary factor is a more important environmental factor in precipitating this disease.