When it is done/advised ?
TMR is advised in patients who have defuse coronary artery disease and are not suitable for any other method of myocardial revascularisation. TMR can be done as an isolated procedure or can be combined with Coronary Artery Bypass Grafting (CABG).If TMR is combined with CABG it is done by median sternotomy and when it is done as an isolated procedure, it is generally done by thoracotomy (opening of the chest cavity from side). TMR can also be combined with Minithoracotomy, when through the same incision, laser procedure can be performed.