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On the morning of February 22nd, at precisely 8:45 a.m., Dr. Tejas M. Patel delivered the inaugural welcome address from Apex Heart Institute at the Nirma University Auditorium. The venue was filled to capacity, hosting 453 distinguished participants from India, Uzbekistan, Russia, and several other countries. The day commenced with a highly complex live case featuring a heavily calcified LMCA bifurcation stenosis, meticulously performed by Dr. Tejas Patel and Dr. Sanjay, with expert on-site commentary provided by Dr. Akasaka. As the 7Fr EBU guide catheter was engaged, the patient experienced a sudden deterioration, developing acute pulmonary edema, hypotension, and severe hypoxia, escalating the case into a critical situation. Immediate and decisive intervention, including high-pressure balloon dilatation of the proximal LAD and calcified LMCA segment, followed by precise stent deployment, resulted in rapid stabilization and a successful outcome. This intricate case sparked an engaging and insightful discussion among the expert panel, highlighting the pivotal role of imaging-guided intervention strategies. The remarkable resolution of this case set the tone for a dynamic, high-impact first day at TRICO 2025.