Sheathless guiding catheters are a valuable tool in the catheterization labor and may assist the operator when dealing with heavily calcifies and tortuous vessels. Nevertheless, when hostile anatomy prevents successful PCI from the radial access, transfemoral use of sheathless guide can assist in overcoming these challenges in a safe manner.

Chronic lymphedema is a devastating problem for the patient and major financial and social burden. There are various medical and surgical management options available. One of the methods of treatment of chronic lymphedema is liposuction. We have used a novel modification of liposuction adhering to the principles to help in better aspiration of fat and fluid.

Background: Ruprecht Majewski-Bosma syndrome is an extremely rare dysmorphic syndrome results from severe hypoplasia of the nose and eyes occurring in association with palatal abnormalities.It is characterized by congenital complete nasal agenesis (Bilateral aplasia of the nose) , microphthalmia including clinical anophthalmia, hypertelorism and other eye defects, high arched palate, and other palatal defects. Materials and methods: A full term newborn female born to a consanguineous parents in their twenties with multiple congenital abnormalities was observed and studied at Children Teaching Hospital of Baghdad Medical City. The relevant literature was reviewed. Results: At birth the girl had the characteristic congenital abnormalities Ruprecht Majewski-Bosma syndrome of including complete nasal agenesis (Bilateral aplasia of the nose), bilateral microphthalmia, high arched palate, hypertelorism, and secondum atrial septal defect.Literature review confirmed the extreme rarity of the condition. Becerra-Solano et al (2016) reported the fifteenth case of the syndrome in the literature. The case of Mondal and Prasad was most probably the reported case number fifty one. Congenital heart defects have not been reported in association with this syndrome. Conclusion: The paper reported the fifty two patients with Ruprecht Majewski-Bosma syndrome which is the first case of the syndrome to be associated with congenital heart defect, atrial septal defect.

Chronic lymphedema is a devastating problem for the patient and major financial and social burden. There are various medical and surgical management options available. One of the methods of treatment of chronic lymphedema is liposuction. We have used a novel modification of liposuction adhering to the principles to help in better aspiration of fat and fluid.

Background: Ruprecht Majewski-Bosma syndrome is an extremely rare dysmorphic syndrome results from severe hypoplasia of the nose and eyes occurring in association with palatal abnormalities.It is characterized by congenital complete nasal agenesis (Bilateral aplasia of the nose) , microphthalmia including clinical anophthalmia, hypertelorism and other eye defects, high arched palate, and other palatal defects. Materials and methods: A full term newborn female born to a consanguineous parents in their twenties with multiple congenital abnormalities was observed and studied at Children Teaching Hospital of Baghdad Medical City. The relevant literature was reviewed. Results: At birth the girl had the characteristic congenital abnormalities Ruprecht Majewski-Bosma syndrome of including complete nasal agenesis (Bilateral aplasia of the nose), bilateral microphthalmia, high arched palate, hypertelorism, and secondum atrial septal defect. Literature review confirmed the extreme rarity of the condition. Becerra-Solano et al (2016) reported the fifteenth case of the syndrome in the literature. The case of Mondal and Prasad was most probably the reported case number fifty one. Congenital heart defects have not been reported in association with this syndrome. Conclusion: The paper reported the fifty two patients with Ruprecht Majewski-Bosma syndrome which is the first case of the syndrome to be associated with congenital heart defect, atrial septal defect.