Transmyocardial revascularization (TMR):

 During Coronary Bypass Surgery a laser is used to create channels into the heart muscle to improve blood flow. Your surgeon will determine the number of channels during your surgery. This technique is utilized for patients with coronary artery disease and angina.

During Transmyocardial revascularization the cardiac surgeon uses short burst of laser energy to create small channels into the heart muscle. These channels promote more blood to flow into new blood vessels. The outer portion of the channel will close and the inside channels remain open to improve blood flow. The U. S. FDA has approved the TMR laser, and considers this procedure a safe and effective treatment option for patients experiencing chronic angina due to advanced coronary artery disease.

Cardiac Tumor Removal:

 Tumors of the heart can be benign or malignant.  The most common benign tumor is an atrial myxoma which is found in the atrium chamber.  Evaluation and treatment is prompted by their potential risk to embolize.  Removal of cardiac tumors reduces risk of stroke.

Ventricular Assist Devices (VAD):

Implantable mechanical pump which assist blood to flow from the chambers (ventricles) of the heart to the rest of your body.  It is used to support patients with weakened hearts due to congestive heart failure, extensive heart attack or awaiting heart transplant.

The types of Venticular assist devices are: LVAD (left ventricle assist) and RVAD (right ventricular assist).  BIVAD (using both assists at the same time)

Atrial Fibrillation Surgery(MAZE procedure):

Atrial Fibrillation is an abnormal heart rhythm. The normal conduction starts in the atria and transmits to the ventricles. In atrial fibrillation the conduction is scattered throughout the atria in a disorganized fashion.  Surgical correction for atrial fibrillation utilizes ablation techniques to block the non synchronized conduction.  

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