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Transmyocardial Revascularization (TMR) Cost in Chennai

Costs starts from USD6000 to USD11000
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Transmyocardial Revascularization (TMR) is performed to relieve severe, chronic chest pain (angina) in patients who are not candidates for conventional procedures like angioplasty or coronary artery bypass grafting (CABG). It improves blood flow directly to the heart muscle by creating small channels in the myocardium (heart wall), allowing oxygen-rich blood from the left ventricle to nourish ischemic areas. TMR is especially useful in patients with diffuse coronary artery disease or those with previously failed revascularization attempts.

You should consult a cardiologist if you're experiencing persistent chest pain despite optimal medical therapy, especially if previous stent placement or bypass surgery hasn’t worked or isn’t an option. TMR is typically considered for patients with refractory angina who are at high surgical risk or have complex blockages not amenable to traditional methods.

Preparation for TMR includes a complete cardiac evaluation — such as ECG, echocardiography, coronary angiography, and stress tests — to assess heart function and identify suitable candidates. Patients are advised to fast for several hours before the surgery or procedure and to temporarily stop certain medications as instructed. A detailed consultation will cover the procedure, potential risks, and recovery expectations.

Usually, a powerful CO₂ or Holmium:YAG laser is used for TMR as a minimally invasive treatment or during open heart surgery:
  • Hybrid or standalone surgical TMR: After making a tiny incision in the chest, 20–40 tiny channels are formed in the left ventricle wall using a laser. These channels permit blood to enter oxygen-depleted cardiac tissue straight from the ventricle.
  • A hybrid strategy: In some situations, if only some coronary arteries can be bypassed and others need TMR, TMR and CABG are combined.

The procedure generally takes one to two hours. Hospitalisation typically lasts 3 to 5 days after standalone TMR, while hybrid TMR with bypass surgery may require a longer stay depending on patient condition and surgical complexity.

  • Irregular heart rhythms (arrhythmias)
  • Bleeding
  • Infection
  • Pericardial effusion (fluid around the heart)
  • Stroke or heart attack (rare)
  • Reaction to anesthesia

  • Significant reduction in angina symptoms
  • Improved quality of life and exercise tolerance
  • Decreased dependence on anti-anginal medications
  • Beneficial for patients with no other surgical options
  • May promote long-term blood vessel formation (angiogenesis)

Recovery time varies by the type of procedure. After TMR, patients are typically monitored in the ICU for 24–48 hours. Discomfort at the incision site is normal. Physical activity is gradually resumed over weeks. Regular follow-up is essential to monitor heart function and adjust medications.

TMR has an 80–90% success rate in easing the symptoms of angina. Many patients report significant pain reduction and increased everyday functioning, even if it might not be able to treat coronary artery disease. The greatest long-term advantages occur when lifestyle changes and the best medical care are combined.

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Explore Hospitals ( 4 )
Transmyocardial Revascularization (TMR) in Global Health City: Costs, Top Doctors, and Reviews

Chennai, India

  • National Accreditation Board for Hospitals & Healthcare Providers (NABH)
  • National Accreditation Board for Testing and Calibration Laboratories (NABL)

The Hospital has world-class infrastructure with a capacity of over 1000 beds and much more-

  • 265 Licensed beds
  • 13 Operation Theatres
  • 24*7 Cath Lab
  • 24*7 available Blood Bank
  • 24*7 Emergency Department
  • 24*7 Open Pharmacy
Transmyocardial Revascularization (TMR) in Apollo Hospital: Costs, Top Doctors, and Reviews

Chennai, India

  • Joint Commission International, or JCI

Apollo Hospital located in Chennai, India is accredited by JCI, NABH. Also listed below are some of the most prominent infrastructural details:

  • Committed Centers of Excellence involving many major specialties, super specialties
  • Assistance in trip planning and execution
  • Insurance related assistance
  • Visa facilitation
  • International patient representatives for complete end to end travel and transfer processing for medical travellers
  • Language translators availability
  • Robust safety and infection protocols
  • Personalised, Visa and Premium Health Checks available
  • Health Library and accessing health records online
  • Wide variety of procedures accomplished including complex and critical procedures
  • Technologically advanced systems and procedures in place
  • Research and academics base of healthcare delivery
Transmyocardial Revascularization (TMR) in MGM Healthcare: Costs, Top Doctors, and Reviews

Chennai, India

  • National Accreditation Board for Hospitals & Healthcare Providers (NABH)
  • National Accreditation Board for Testing and Calibration Laboratories (NABL)

There are a wide variety of healthcare facilities and specialized, targeted treatments provided by MGM HealthCare. Some of its most prominent services are listed below:

Institute of Heart and Lung Transplant and Mechanical Circulatory Support:  Well renowned for having the third-highest number of heart transplants in a year (102) and also the successful completion of several other transplant surgeries and cardiac surgeries.

Cardiac Sciences: They offer a variety of screening tests and facilities including Tilt Table Test, Coronary Angioplasty and Stenting, CT Angiography, Coronary Artery Bypass Grafting, Stress Echocardiogram, Cardiac Stress Test and Cardiac Catheterisation.

Obstetrics and Gynaecology: They provide all services to ensure a woman’s well-being. Some of the services offered are Menstrual Cramps Treatment, Colposcopy, Myomectomy, Vaginal Hysterectomy, Breastfeeding Support, Ovarian Cyst Removal, Menopause Management, Vaginal Birth After Caesarean (VBAC), and Menorrhagia Treatment.

Orthopedics: Bilateral Knee Replacement, Total hip Replacement, and Knee Arthroscopy are all the procedures that are offered in this department.

Liver Transplantation: An exceptionally skilled team of professionals who have performed over 4,000 liver transplant surgeries and an operation theatre and ICU specifically dedicated to HBP surgery is available at the patient’s disposal.

Emergency Medicine: MGM Healthcare has a fully functioning facility dedicated to emergency medicine that operates 24 hours a day and 7 days a week. 

Oncology: The patients will be in the safe hands of well-trained medical personnel qualified in the field of oncology and specialize in procedures like Bowel resection surgery, Biopsy, Lumpectomy, Liver Resection Surgery, Lung Cancer resection surgery, Lymph Node Surgery, and Laparoscopic Prostatectomy. They also provide cancer treatments like Chemotherapy, Immunotherapy, and Targeted Therapy.

Anaesthesiology and SICU: They specialize in the field of local, general and regional anesthesia and work to assist doctors during surgical procedures.

Neurosciences and Spine: The doctors in this department handle difficult procedures like Brain Tumour Surgery, Spine Reconstructive Surgery, Neuro Surgeries, and Spine Surgeries with the utmost ease and professionalism. They also have a specific area dedicated to Neuroanaesthesia and NeuroCritical Care.

Do visit the environment-friendly medical facility in Chennai and experience medical excellence.

Transmyocardial Revascularization (TMR) in Sri Ramachandra Medical Centre: Costs, Top Doctors, and Reviews

Chennai, India

2.9 ( 1 Reviews )
  • Joint Commission International, or JCI
  • National Accreditation Board for Hospitals & Healthcare Providers (NABH)

Sri Ramachandra Medical Centre located in Chennai, India is accredited by ISO, JCI, NABH, NABL. Also listed below are some of the most prominent infrastructural details:

  • The best minds in healthcare including specialists, and other healthcare professionals work together to treat patients with simple to complex and critical conditions.
  • The number of inpatients and outpatients (annually) are 35,000 and 2,50,000 respectively.
  • A wide range of surgical specialties, sub specialties are available in Sri Ramachandra Medical Centre Chennai.
  • The bed capacity of the hospital is 800 which is inclusive of 200 Intensive Care Unit beds.
  • Blood Bank and Eye Bank are available on a 24/7 basis.

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Author

Dr. Vijita Jayan

BPT, MPT (Neuro)

18 Years of Experience

With over 18 years of distinguished clinical experience, Dr. Vijita Jayan is a highly accomplished Clinical Director and Rehabilitation Specialist, renowned for her expertise in neuro-rehabilitation, functional recovery, and mobility-dependent case management. Her extensive practical knowledge enables her to design and implement individualized, evidence-based rehabilitation protocols that consistently yield measurable patient outcomes. A prolific researcher and academic writer, she has authored numerous peer-reviewed articles and research papers, significantly advancing the field of rehabilitative medicine. The recipient of multiple prestigious accolades, Dr. Jayan is widely regarded as one of the foremost authorities in Physical Medicine and Rehabilitation, continually shaping neuro-rehabilitative care through research, innovation, and clinical excellence.. View More

Reviewer

Dr. Naresh Kumar Goyal

Cardiologist

21 Years of Experience

Dr. Naresh Kumar Goyal is highly trained as a cardiologist with exposure in virtually all aspects of cardiology. He qualified with an MD in internal medicine in 1999 from SMS Medical College, Jaipur, and served in the Cardiology Department as an honorary resident. From this stage, he also started with training in the temporary pacing of the pacemaker as well as interventional services. View More