Transmyocardial revascularisation is a surgical technique that uses a laser to create tiny channels in the heart muscle, with the aim of improving blood supply in people with severe angina who cannot have angioplasty or bypass surgery. It is usually reserved for areas of the heart that cannot be reached by standard methods.

Patients searching for heart treatment in Mumbai for severe angina at Apex are first assessed for more established options, including medicines, angioplasty and bypass surgery. TMR is considered only after these options are judged unsuitable, as evidence for its benefit is limited and it is rarely performed. It may be done as an addition to bypass surgery or on its own through a small chest incision.

The surgeon uses a laser to make channels in the muscle of the left ventricle. Recovery resembles that of heart surgery, and patients stay in hospital for several days. Medicines for angina usually continue afterwards. The cardiologist explains frankly that relief varies and may not last and that the technique is not suitable for everyone.

How the Procedure Can Help

In selected patients with no other options, it may reduce angina symptoms and improve exercise tolerance.

Risks and Considerations

Risks include bleeding, rhythm disturbances, heart muscle injury, infection and the general risks of heart surgery. Some patients experience no lasting benefit. Chest pain that changes in pattern, breathlessness or fainting after surgery needs urgent attention.