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Home > Center for Robotic Surgery > Heart > Transmyocardial revascularization

Transmyocardial revascularization

For patients with angina, or chest pain, which persists even after they have undergone coronary bypass, heart catheterization procedures or have small-vessel coronary disease, transmyocardial revascularization offers hope for relief of pain.

During the procedure a surgeon uses a laser to carve miniscule channels in the heart muscle. It is thought that the channels become new pathways for blood to enter the heart muscle. After recovery, most patients who have undergone transmyocardial revascularization report less chest pain and have less risk of further cardiac events.       

Transmyocardial revascularization was traditionally performed during open-chest surgery, involving a lengthy recovery time. With the advent of minimally invasive robotic-assisted surgery, however, a new technique became available involving less trauma, less pain and faster recovery.  Robotic transmyocardial revascularization permits the surgeon to work through small incisions with a great degree of dexterity and visualization.

In some cases, the minimally invasive approach of robotic transmyocardial revascularization may offer patients the option of trying revascularization first before undergoing coronary bypass.     

Saint Joseph's Center for Robotic Surgery offers this new approach to transmyocardial revascularization through the use of the da Vinci Surgical System. For the clinically appropriate patient, da Vinci transmyocardial revascularization offers a number of potential benefits, including:
  • Less post-operative pain
  • Less risk of infection
  • Less anesthesia
  • Less blood loss
  • Shorter hospital stay
  • Faster and more complete recovery
  • Quicker return to normal daily activities
For more information about robotic surgery, call 1-866-SJ-ROBOT (1-866-757-6268).

For more information about Saint Joseph's Center for Heart & Vascular Care, call 404-851-5111.

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