Coronary Artery
Bypass Grafting
(CABG)
World-class heart bypass surgery at DDMM Heart Institute, Nadiad. Malaysian patients seeking heart bypass surgery Malaysia or abroad save up to 63% by choosing India via V & R. Off-pump beating heart technique. Surgery within 7 days of arrival. No waiting list.
What is Coronary Artery
Bypass Grafting?
Coronary Artery Bypass Grafting (CABG) is the most established surgical treatment for severe coronary artery disease. When the arteries supplying blood to your heart become critically narrowed or blocked by fatty plaque, CABG creates an entirely new route for blood to flow around the obstruction, restoring full oxygen supply to the heart muscle and relieving life-limiting symptoms.
Heart bypass surgery cost in Malaysia at private hospitals ranges from RM 65,000 to RM 120,000. For Malaysians comparing heart bypass surgery Malaysia vs India, the same procedure at DDMM Heart Institute via V & R Medical Service costs RM 25,000 to RM 45,000 all-inclusive - a saving of up to 63%.
DDMM Heart Institute is NABH-accredited - India's equivalent of Malaysia's MSQH - with Dr. Sanjeeth Peter, one of India's foremost off-pump CABG specialists, having performed over 10,000 successful cardiac surgeries.
The Problem
Plaque builds up inside coronary arteries, narrowing them and restricting blood flow to the heart muscle. This causes chest pain (angina), breathlessness, and raises the risk of heart attack. When blockages are too severe or numerous for stenting, CABG becomes the definitive treatment.
The Graft
A healthy vessel is taken from the chest wall or forearm. Dr. Peter specialises in total arterial revascularisation (TAR) using the internal mammary artery - the gold standard graft with 90% patency at 10 years, far superior to vein grafts.
The Bypass
The graft is sutured above and below the blockage, creating a new channel that routes blood completely around the narrowed artery. Blood flow to the heart muscle is restored immediately. Dr. Peter performs this with the heart still beating - no bypass machine required.
The Outcome
Most patients experience complete relief from chest pain, reduced heart attack risk, and improved quality of life. CABG provides more durable long-term results than angioplasty for multivessel disease. Return to daily activity in 6 to 8 weeks; full recovery within 12 weeks.
Off-Pump Beating Heart Surgery
"Traditional CABG requires stopping the heart and using a heart-lung bypass machine. Dr. Sanjeeth Peter specialises in off-pump CABG with total arterial revascularisation (TAR), performed while the heart continues to beat naturally. DDMM Heart Institute describes this as a world benchmark that is standard practice at the hospital."
Reduced Stroke Risk
No heart-lung machine means no risk of micro-emboli. Studies show significantly reduced stroke incidence with off-pump technique.
Less Post-Op Bleeding
Beating heart surgery avoids the blood-thinning effects of cardiopulmonary bypass, resulting in lower transfusion requirements.
No Heart-Lung Machine
The heart is never stopped. Blood continues to circulate naturally throughout the entire procedure via the beating heart.
Faster Recovery
Patients are typically mobilised earlier, spend fewer days in ICU, and are discharged sooner compared to conventional on-pump CABG.
Lower Kidney Risk
Avoiding the inflammatory response from the bypass machine reduces the risk of acute kidney injury, particularly important for diabetic patients.
Better for High-Risk
Elderly patients, diabetics, and those with prior strokes or poor heart function benefit most from the reduced physiological stress of off-pump surgery.
India's Leading
Off-Pump CABG Specialist
Dr. Sanjeeth Peter is the Chief Cardiac Surgeon at DDMM Heart Institute and one of India's foremost specialists in off-pump coronary artery bypass surgery. He holds the prestigious FIACS fellowship from the Indian Association of Coronary Surgeons and has dedicated his career to advancing beating heart surgical techniques.
His expertise covers the full spectrum of cardiac and vascular surgery including CABG, valve replacement and repair, pediatric heart surgery, vascular and endovascular procedures, and complex redo cardiac surgery.
Malaysian patients coordinated by V & R Medical Service benefit from direct access to Dr. Peter's team from the moment they submit their first report. Dr. Peter personally reviews every angiogram submitted through V & R.
Who Needs CABG? Conditions Treated
Your cardiologist may recommend CABG over angioplasty or medication if you present with one or more of the following conditions.
Triple Vessel Disease
Significant blockages in all three main coronary arteries where angioplasty is not suitable for all vessels simultaneously. CABG is the standard of care.
Left Main Artery Blockage
Narrowing of the left main coronary artery, which supplies the largest portion of the heart muscle and carries highest risk if untreated. Surgery is strongly preferred.
Reduced Heart Function
Low ejection fraction combined with multivessel disease, where CABG has been shown to improve long-term survival over medical therapy alone.
Diabetes with Multivessel Disease
Diabetic patients with two or more vessel blockages benefit significantly more from CABG than stenting according to FREEDOM trial and long-term clinical data.
Failed Previous Angioplasty
Recurrent blockage after stenting (in-stent restenosis), or anatomy unsuitable for catheter-based intervention, where surgical bypass offers more durable long-term results.
Persistent Angina
Chest pain not adequately controlled by medication, where coronary anatomy makes CABG the preferred revascularisation strategy over continued medical management.
Not sure whether you need CABG or angioplasty? Read: CABG vs Angioplasty Guide for Malaysian Patients
CABG vs Angioplasty: Which Is Right for You?
Both CABG and coronary angioplasty (PCI) treat blocked coronary arteries, but they work very differently and produce different long-term outcomes. Understanding when CABG is the better choice is important before making any treatment decision.
Heart Bypass Surgery Cost:
Malaysia vs India 2026
The same CABG procedure at DDMM Heart Institute in India via V & R Medical Service costs RM 25,000 to RM 45,000 all-inclusive - surgeon, anaesthesia, ICU, ward, and pre-operative diagnostics. No hidden costs. Malaysian patients save 60% to 63% versus Malaysian private hospital rates.
DDMM Heart Institute
Nadiad, Gujarat, India
The Dharmsinh Desai Memorial Methodist Institute of Cardiology and Cardiovascular Surgery is a NABH-accredited super specialty hospital dedicated exclusively to cardiac and vascular care. The hospital has performed over 10,000 successful cardiac operations and maintains a professional staff of over 200.
NABH Accreditation - India's highest hospital quality standard, equivalent to Malaysia's MSQH. Independently audited for patient safety and clinical outcomes.
Siemens EPIQ 7 4D Echo
AI-assisted echocardiography for precise pre-operative assessment
Siemens Cardiac Cath Lab
State-of-the-art angiography and interventional cardiology
18-Bed Cardiac ICU
Dedicated post-operative intensive care with 24/7 intensivist cover
Sterile Operating Theatres
Advanced cardiac theatres with full perfusion support capability
Recovery at
Boulevard 9 Resort
Once discharged from DDMM Heart Institute, patients transition to Boulevard 9 Resort for 5 to 7 days of supervised post-operative recovery. Located close to the hospital, V & R Medical Service arranges everything including daily nursing visits, structured cardiac rehabilitation, and caregiver accommodation with halal meal options throughout.
Your Complete CABG Journey
with V & R Medical Service
From your first contact to your 90-day follow-up, V & R manages every step. Here is exactly what to expect from start to finish.
Free Medical Report Review
Send your angiogram, ECG, echocardiogram, and blood tests via WhatsApp or email. Dr. Peter's team provides a written clinical recommendation and personalised cost estimate within 48 hours. Completely free, no commitment.
Video Consultation with Dr. Peter
Before booking your travel, V & R arranges a direct video consultation between you and Dr. Peter's surgical team. Ask every question in Bahasa Malaysia through our dedicated liaison.
VIP Airport Arrival and Transfer
A V & R representative meets you at Ahmedabad airport on arrival day and transfers you directly to DDMM Heart Institute in Nadiad via private air-conditioned vehicle. No navigation required.
Pre-Operative Assessment
2 days of comprehensive pre-operative screening including EPIQ 7 4D echocardiography, angiography review, blood work, and anaesthetic assessment. Your private hospital liaison attends every consultation and manages all hospital paperwork.
CABG Surgery by Dr. Sanjeeth Peter
Dr. Peter performs your bypass surgery in a state-of-the-art sterile operating theatre. Where clinically appropriate, off-pump beating heart technique with total arterial revascularisation is applied. Your family is briefed after surgery with V & R liaison present.
ICU and Ward Recovery at DDMM
Post-surgery monitoring in the 18-bed dedicated cardiac ICU followed by ward recovery. V & R liaison visits daily, attends all ward rounds, and keeps your family fully informed. All clinical concerns escalated to Dr. Peter directly.
Resort Recovery at Boulevard 9
5 to 7 days of supervised recovery with daily nursing visits, structured cardiac rehabilitation programme, halal meal options, and caregiver accommodation. V & R arranges all logistics and ensures comfort throughout.
Fit-to-Fly and Safe Return
V & R coordinates your medical clearance for the flight home, prepares complete discharge documentation in English for your Malaysian cardiologist, and arranges your return airport transfer to Ahmedabad.
30 and 90 Day Follow-Up
V & R remains contactable for the full post-operative follow-up period. We can facilitate direct communication between your Malaysian cardiologist and Dr. Peter's team at DDMM if any clinical questions arise after you return home.
CABG Recovery Timeline: Day by Day
Understanding exactly what happens at each stage of CABG recovery helps you and your family plan confidently. The timeline below reflects the experience of most Malaysian patients coordinated by V & R Medical Service at DDMM Heart Institute.
Everything
Handled
for You
Every detail from arrival to 90-day follow-up is managed by V & R Medical Service, our Malaysian coordination team, so you focus entirely on your recovery.
Start Your JourneyFree Medical Report Review
Clinical assessment by Dr. Peter's team within 48 hours. Written recommendation and cost estimate provided free of charge.
Pre-Travel Surgeon Consultation
Direct video consultation with Dr. Peter before any commitment. Bahasa Malaysia interpretation available via our liaison.
VIP Airport and Hospital Transport
Private vehicle from Ahmedabad airport to DDMM Heart Institute and all hospital transfers throughout the entire stay.
Dedicated Private Hospital Liaison
V & R representative present at every ward round, clinical discussion, consent process, and discharge briefing.
Boulevard 9 Resort Recovery
Caregiver accommodation with halal meal options, daily nursing visits, and structured rehabilitation programme.
Post-Operative Cardiac Rehabilitation
Structured physiotherapy, breathing exercises, and nutrition guidance coordinated by the DDMM medical team at the resort.
Fit-to-Fly Medical Clearance
Full discharge documentation in English for your Malaysian cardiologist and safe return flight coordination to Malaysia.
30 and 90 Day Follow-Up
V & R remains your point of contact after returning to Malaysia for the full post-operative follow-up period.
Why Malaysian patients
choose V & R for CABG in India
Expert Surgeon
Dr. Sanjeeth Peter holds MS, MCh, DNB, and FIACS qualifications with over 10,000 successful cardiac surgeries. India's leading specialist in off-pump total arterial revascularisation CABG.
NABH Accredited Hospital
DDMM Heart Institute holds full NABH accreditation, the Indian equivalent of Malaysia's MSQH standard. Independently audited for patient safety and clinical outcomes annually.
No Waiting List
Surgery scheduled within 7 days of arrival. No months-long queue. For patients with urgent cardiac conditions, speed of access can be clinically critical to outcomes.
Up to 63% Savings
Triple vessel CABG costs RM 35,000 to RM 45,000 via V & R versus RM 95,000 to RM 120,000 at Malaysian private hospitals. Same quality. Radically different cost.
Malaysian Coordination
V & R Medical Service is based in Malaysia. Bahasa Malaysia and English spoken. You work with a local company that understands Malaysian patients, families, and cultural needs.
End-to-End Support
From your first WhatsApp message to your 90-day follow-up, V & R manages every single detail. You focus entirely on your recovery. We handle everything else.
Frequently
Asked Questions
About CABG
Honest answers to the most common questions from Malaysian patients and families considering CABG in India.
Ask Us Directly
Send us your cardiac reports.
We reply in 48 hours.
Dr. Sanjeeth Peter's team reviews every case and provides a written clinical recommendation and personalised cost estimate. Completely free. No commitment required.
+6011 2159 9937 | info@vnrmedicservice.com | Mon to Sun, 8am to 6pm
About Us
V&R Medical Service is a dedicated medical travel bridge connecting Malaysian patients with world-class cardiac care in India. Partnered with the NABH-accredited DDMM Heart Institute, we provide end-to-end coordination, expert surgery by Dr. Sanjeeth Peter, and affordable heart health solutions with zero waiting lists.
Contact Info