Absence of both lungs is extremely rare; there appear to be only four recorded cases (Claireaux and Ferreira, 1958 ; Tuynman and Gardner, 1952; Allan and Affelbach, 1925 ; Schmit, 1893). Oesophageal atresia has a frequency of about 1: 3,500 births and the first arch syndrome is uncommon. The occurrence of all three of these conditions in a liveborn infant has not previously been recorded and it...