The first trans-catheter aortic valve replacement procedure of a 70-year-old elderly patient was treated for heart disease on Saturday at the Advanced Cardiac Institute of Dr. Bhimrao Ambedkar Memorial Hospital. The cost of TAVR procedure in a private hospital is about 25 lakhs. This treatment of heart disease of poor patients was provided free of cost under the Dr. Khubchand Baghel Health Assistance Scheme of Chhattisgarh Government in ACI. A 70-year-old patient from a small village near Raigad was suffering from shortness of breath. The investigation found an aortic bicuspid valve. The patient’s heart was severely impaired due to severe valve stenosis. The cardiac surgeon refused to perform a heart operation in view of a serious heart disease. In such a situation, trans-catheter aortic valve replacement was planned for the treatment of patient’s disease in ACI. The transcutaneous aortic valve was inserted through the thigh artery, without being unconscious and without making any incision on the chest. Head of Department of Cardiology, Dr. Prof. Smit Srivastava explains that currently only 30 institutions in the country have trans-catheter aortic valve replacement facilities. Advance Cardiac Institute, Medical College Raipur also joined this list on 9 January with the first TAVR procedure. Dr. Prof. Dean of Medical College Raipur Vishnu Dutt and Hospital Superintendent Dr. Vinit Jain determined the availability of medical supplies required for this procedure. Dr. Jogesh Daswani, Dr. Sulabh, Dr. Sandeep Nag, Dr. Shivangi Sengupta, Dr. Shriya Ambhekar and Dr. Simran Rana were involved in this successful TAVR process under the leadership of Dr. Smit Srivastava, Head of Department of Cardiology at ACI. For the backup of Surgical and Anesthesia, Dr. KK Sahu, Head of the Department of CTVS, Dr. N.S. Chandel and Dr. Arunabh Mukherjee were present in Cathlab during this process. The cardiac technical team included IP Verma and Sister Sheena, who supervised the patient during and after the procedure (pre and post operation care).