62 year-old male presented to outside hospital with new onset rest angina and non-STEMI (TnI 2.5). A Cardiac Cath on July 24, 2015 revealed 3V CAD: thrombotic subtotal occlusion of mid RCA, 90% LAD-D1 bifurcation lesion (Medina 0,1,1), 80% LCx-LPL branch with mild LV dysfunction and SYNTAX Score of 16. Patient underwent successful intervention of culprit vessel mid RCA (Thrombectomy and Promus Premier DES) with excellent results. Patient is now planned for FFR guided staged PCI of LAD-D1 bifurcation and LCx-LPL lesions as the plan of complete revascularization strategy in this young patient.