A male patient of age 50 years, with type 2 diabetes history and acute anterior wall myocardial infarction, unthrombolysed due to late presentation, was referred for further management. ECG indicated evidence of anterior wall myocardial infarction. 2D echocardiogram demonstrated moderate left ventricular dysfunction with regional wall motion abnormality in LAD territory.
He was managed with low molecular weight heparin, antiplatelet therapy, beta-blockers, and high dose statin therapy. Coronary angiogram(see image) revealed two-vessel disease- long segment critical lesion in proximal LAD and significant lesion in ramus. How to proceed?