LITERATURE *

CONGENITAL dextrocardia with situs inversus is an infrequent but not a rare condition, estimates as to its incidence varying from one in approximately 35,000 individuals * to one in 6 to 10,000.2 ' 3> 4»5 The association of congenital dextro-cardia with coronary heart disease is, however, quite rare,6 '7 only five such case reports appearing in the literature. No case of hiatus hernia occurring with situs inversus has yet been reported. For this reason it was felt that the report of the following case presenting the coexistence of situs inversus, coronary heart disease and hiatus hernia would be of interest. CASE REPORT The patient, a 54 year old Armenian-born, retired storekeeper, consulted one of us (H. R.) with a chief complaint of recurrent pain in the chest of approximately five years ' duration. He had enjoyed good health until five years ago, when following a mild illness of one week's duration marked by cough, he noticed the onset of episodes of pain in the upper anterior chest just to the right of the sternum. At that time he was seen at a community hospital where, after roentgen-ray examination, he was told "there was something wrong in his chest. " Two years before, because of progression of his symptoms, he was seen at a large clinic, where he was informed that he had Received for publication October 25, 1947