India's first TCRAT procedure successfully performed at Pulse Heart Super Speciality Hospital

Hyderabad, May 1: Pulse Heart Super Speciality Hospital, Miyapur, has achieved a national milestone by successfully performing India's first Total Endoscopic Coronary Revascularization Via Thoracotomy (TCRAT) - a state-of-the-art, minimally invasive alternative to traditional bypass surgery.
The complex procedure was performed by a skilled team including Senior Interventional Cardiologist and Managing Director Dr. M.S.S. Mukherjee, Senior Cardiothoracic Surgeon Dr. Vamsi Krishna, Senior Cardiologist Dr. Movva Srinivas and Cardiac Anesthesiologist Dr. Shashikant.
TCRAT represents a significant evolution in the broader category of Minimally Invasive Cardiac Surgery (MICS). While MICS refers to a series of heart surgeries that are performed without dividing the sternum, such as MIDCAB or valve repairs, TCRAT is a more advanced technique. It allows for complete coronary revascularization – bypassing multiple blocked arteries – through a small incision (left anterior thoracotomy) on the left side of the chest, without opening the breastbone. This distinguishes it from procedures like MIDCAB, which typically address only one or two vessels.
The patient benefits are significant: reduced pain, minimal scarring, shorter hospital stay and faster return to normal life – all while achieving surgical perfection equivalent to traditional open-heart bypass surgery.
Speaking at a press conference, Dr. M.S.S. Mukherjee said,
“At Pulse Heart, we are deeply committed to bringing the most advanced, patient-friendly technologies to cardiac care in India. This successful TCRAT procedure demonstrates not only our surgical capabilities, but also our drive to lead the future of cardiac care.”
Lead Surgeon Dr. Vamsidhar said,
“This is the first time that TCRAT is being performed in India. It offers the completeness of a complete bypass with the benefits of a minimally invasive approach – something that patients and surgeons have been hoping for for a long time.”
Pulse Heart Super Speciality Hospital, located in Miyapur and KPHB, is renowned for its excellence in interventional and surgical cardiology, emergency care and ethical, evidence-based treatment. With a focus on innovation and patient outcomes, Pulse continues to be a leader in advanced cardiac care in Telangana and beyond.