Baby Memorial Hospital, Kannur, successfully performed a complex and high-risk cardiac procedure using advanced ECMO (Extracorporeal Membrane Oxygenation) support, marking a significant milestone in critical cardiac care in the region. The patient, who was suffering from severe cardiac failure, underwent a Left Main Coronary Bifurcation Angioplasty with ECMO backup, ensuring continuous circulatory and respiratory support throughout the procedure. The multidisciplinary team of ctvs, cardiologists, critical care, cardiac anesthetists and perfusionists worked in coordination to ensure a successful outcome. This achievement highlights BMH Kannur’s capability in handling complex interventional cardiology cases with advanced life-support technologies, reinforcing its commitment to delivering world-class cardiac care.