Abstract: An ultrasound system and method for performing relatively non-invasive cardiac ablation on a patient. The system of the present invention includes a plurality of ultrasound transducers forming a phased array that is to be located externally of the patient. The array a focused beam of sufficient energy to ablate a predetermined cardiac tissue volume. The system is capable of refocusing the beam so that acoustical aberrations encountered by the beam, as it is transmitted through inhomogeneous body tissues between the array and the treatment volume, are taken into account and will not impede operation of the system. To refocus the beam, the system includes a senor which senses the phase distribution caused by the aberrations allowing a controller to calculate a compensating driving phase distribution and accordingly drive the array. The system also allows for real time correction of the beam's position enabling the beam to follow a moving myocardial target volume.