Mr. Ravikant (name changed for privacy protection), a diabetic patient, arrived with an acute heart attack and a severely reduced heart function. Concerned about his worsening symptoms, his family approached Dr. Priya Palimkar for treatment.

Diagnosis and Treatment:
Upon arrival, Mr. Ravikant’s ejection fraction (EF) was just 35%. Urgent intervention was necessary, and Dr. Priya Palimkar swiftly performed primary angioplasty on the left anterior descending (LAD) artery—the culprit behind the heart attack—restoring critical blood flow. However, further evaluation revealed additional blockages in both his left and right coronary arteries, requiring a staged treatment approach.
Three days later, with a well-planned strategy, Dr. Palimkar proceeded with angioplasty on the left coronary arteries. This time, she used advanced intracoronary imaging with intravascular ultrasound (IVUS) to gain a precise understanding of the blockages. IVUS revealed a significant 60% circumferential plaque buildup in the left main artery, which required complex left main bifurcation angioplasty. The procedure was successful, but the patient experienced slow blood flow, necessitating additional blood-thinning injections to ensure smooth circulation.
Two months later, Mr. Ravikant returned for the final step of his treatment—right coronary artery (RCA) angioplasty. This procedure, also IVUS-guided, involved placing stents and using a drug-coated balloon to optimize blood vessel healing. A check angiography of the previously treated left coronary arteries confirmed that the stents remained perfectly patent with excellent long-term results.