Angiographic assessment of anomalous origin of the left coronary from the pulmonary artery in infancy and childhood.

Angiographic findings in five paediatric patients with anomalous left coronary artery arising from the pulmonary artery are presented. An attempt is made to provide an angiographic rationale of some aspects of the pathophysiology and electrocardiography in this condition, and the vital importance of angiography in selecting the appropriate surgical approach is underlined.

Congenital left posterolateral diaphragmatic hernia with previously normal chest x-ray.

Three patients who presented with left congenital posterolateral diaphragmatic hernia at the ages of six months, two years and six years and who had a normal chest x-ray earlier in life are reported. In two children the late onset of symptoms and previously normal radiographic appearance might be explained by the spleen acting as a plug in the diaphragmatic defect. A normal chest x-ray in early infancy does not exclude the diagnosis of congenital posterolateral diaphragmatic hernia.