stent implantation in an adult with coarctation of the aorta in the presence of advanced secondary heart failure we report the case of a 56yearold woman with congenital coarctation of the aorta who presented in critical clinical condition with advanced secondary cardiomyopathy and heart failure we successfully applied an unusual technique to pass the aortic obstruction and then implanted a palmaz stent the procedure resulted in prompt clinical improvement and completely resolved the coarctation the patients improved clinical condition was still evident 11 months after the procedure childhood deafness in cape town an aetiological survey of a cape peninsula school for the deaf in which 366 cape coloured and asiatic children were examined is reported the relevant hereditary factors and the abnormal clinical findings are documented and the more important of these are discussed in 20 74 of the children the deafness was genetic in 36 132 it was acquired and in 44 160 it was cryptogenic