Pediatric Heart Surgery:
ASD & VSD Repair
in India
A hole-in-the-heart diagnosis is frightening for any parent. At DDMM Heart Institute, Nadiad, Dr. Sanjeeth Peter's team performs ASD and VSD repair with precision and care - device closure or surgical patch. Save up to 60% versus Malaysian private hospitals. No waiting list.
What are ASD and VSD?
Hole-in-the-Heart Explained
ASD (Atrial Septal Defect) and VSD (Ventricular Septal Defect) are the two most common congenital heart defects in children. Both involve a hole in the wall separating the chambers of the heart, allowing blood to flow in the wrong direction. Left untreated, significant defects cause heart failure, pulmonary hypertension, and lifelong cardiovascular complications.
Hole-in-the-heart surgery cost in Malaysia at private hospitals typically ranges from RM 45,000 to RM 90,000 depending on the approach and complexity. The same procedures at DDMM Heart Institute in India via V & R Medical Service cost RM 18,000 to RM 45,000 all-inclusive - a saving of up to 60%. With no waiting list and surgery schedulable within 7 days, children receive timely intervention without months of delay.
DDMM Heart Institute has a dedicated pediatric cardiac surgery capability with specialist pediatric anaesthesiology, a dedicated Pediatric ICU (PICU), and Dr. Sanjeeth Peter's full surgical expertise. V & R Medical Service coordinates every step for Malaysian families - from first report review to the day your child flies home.
What Causes ASD/VSD?
Congenital septal defects form during fetal heart development. In most cases there is no specific cause. They are present at birth and diagnosed by echocardiogram - sometimes in infancy, sometimes not until childhood.
Why Treatment Is Needed
Small defects may close on their own. Moderate-to-large ASD and VSD do not close spontaneously and cause increasing strain on the heart and lungs. Timely repair prevents irreversible pulmonary hypertension and heart failure.
The Two Repair Options
Device closure via catheter (no chest incision, day 2 discharge possible for suitable cases) or open-heart surgical patch repair for larger or more complex defects. Dr. Peter recommends the best approach after reviewing the echocardiogram.
Life After Repair
The overwhelming majority of children live completely normal lives after successful ASD or VSD repair - full participation in sports, normal schooling, and unrestricted activity. Follow-up echocardiograms confirm complete closure.
ASD vs VSD: What Is the Difference?
Both are congenital septal defects but they affect different chambers of the heart, produce different symptoms, and may require different surgical approaches. Understanding the distinction helps parents make informed decisions about treatment timing and approach.
ASD - Atrial Septal Defect
A hole in the wall (septum) between the two upper chambers of the heart - the left atrium and right atrium. This allows oxygenated blood to flow from the left atrium back to the right atrium, overloading the right side of the heart and increasing blood flow to the lungs.
Significant ASDs cause the right ventricle and pulmonary arteries to enlarge over time. Untreated in adulthood, they lead to atrial fibrillation, stroke risk, and irreversible pulmonary hypertension. Most moderate-to-large ASDs are suitable for minimally invasive device closure.
VSD - Ventricular Septal Defect
A hole in the wall between the two lower chambers of the heart - the left ventricle and right ventricle. VSD is the most common congenital heart defect overall. Blood flows from the high-pressure left ventricle to the right ventricle with every heartbeat, overloading the lungs and causing pulmonary hypertension if untreated.
Small VSDs often close spontaneously in infancy. Moderate-to-large VSDs do not and require surgical or catheter-based repair. The position of the defect (perimembranous, muscular, subarterial) determines the most appropriate repair approach, which Dr. Peter assesses from the echocardiogram.
Device Closure vs
Open-Heart Surgical Repair
Dr. Sanjeeth Peter selects the repair approach based entirely on your child's echocardiogram, defect anatomy, and overall cardiac health. Both approaches achieve excellent long-term outcomes when appropriate patient selection is applied.
Device Closure via Cath Lab
A thin catheter is inserted through the groin and guided to the heart under X-ray guidance in the DDMM Siemens Cardiac Cath Lab. A specially designed plug device is deployed through the catheter to seal the hole permanently. No chest incision. General anaesthesia required for children.
Surgical Patch Repair
For larger defects, complex anatomical positions, or defects not suitable for catheter closure, Dr. Peter performs open-heart surgery under cardiopulmonary bypass. A patch (pericardium or synthetic) is sutured over the defect, permanently closing it. This is the gold-standard approach for complex or large ASDs and VSDs.
Dr. Sanjeeth Peter
Chief Cardiac Surgeon, DDMM Heart Institute, Nadiad, India
Experienced in
Pediatric Congenital
Heart Surgery
Dr. Sanjeeth Peter is the Chief Cardiac Surgeon at DDMM Heart Institute and holds comprehensive expertise across the full spectrum of cardiac surgery - including pediatric congenital heart surgery for ASD, VSD, and other structural defects. His MCh (Cardiothoracic Surgery) qualification specifically covers pediatric cardiac surgical training.
Dr. Peter personally reviews every echocardiogram submitted through V & R Medical Service and provides a written clinical recommendation within 48 hours. Malaysian families receive direct access to his team from the moment they make first contact.
DDMM Heart Institute's pediatric cardiac capability includes specialist pediatric anaesthesiology, a dedicated Pediatric ICU (PICU) with trained pediatric nursing staff, and the Siemens Cardiac Cath Lab for catheter-based device closure procedures.
ASD & VSD Surgery Cost:
Malaysia vs India 2026
Hole-in-the-heart surgery cost in Malaysia at private hospitals ranges from RM 45,000 to RM 90,000. The same procedures at DDMM Heart Institute in India via V & R Medical Service cost RM 18,000 to RM 45,000 all-inclusive - saving families up to 60% with no compromise on surgical expertise or NABH-accredited hospital standards.
Recovery at
Boulevard 9 Resort
After hospital discharge, your child and family transition to Boulevard 9 Resort in Nadiad for supervised post-operative recovery. The calm, comfortable environment supports faster healing - far better than a hospital ward for a child's psychological recovery. V & R arranges everything including daily nursing visits, medications, cardiac monitoring, and halal meals throughout.
Your Child's Journey
with V & R Medical Service
Device closure patients plan 7 to 10 days in India. Open-heart surgical repair patients plan 12 to 14 days. V & R manages every step for the whole family.
Free Echocardiogram Review
Send your child's echocardiogram, pediatric cardiologist's report, and any cardiac catheterisation results via WhatsApp or email. Dr. Peter's team provides written clinical recommendation and cost estimate within 48 hours. Free. No commitment.
Video Consultation with Dr. Peter
V & R arranges a direct video consultation with Dr. Peter before you book travel. Ask every question in Bahasa Malaysia. Surgical approach, expected recovery, risks, and logistics all discussed before any commitment.
VIP Airport Transfer to DDMM
V & R representative meets your family at Ahmedabad airport. Private air-conditioned transfer to DDMM Heart Institute in Nadiad. Child-friendly welcome from the hospital team on arrival.
Pre-Operative Assessment
Comprehensive cardiac workup including repeat echocardiogram with EPIQ 7 4D imaging, chest X-ray, blood tests, and pediatric anaesthesia assessment. Surgical plan finalised with Dr. Peter. V & R liaison present throughout all consultations.
ASD / VSD Repair Surgery
Device closure (1 to 2 hours via Cath Lab under general anaesthesia) or open-heart surgical patch repair (2 to 4 hours). Parents briefed immediately after the procedure by Dr. Peter with V & R liaison present. Child transferred to Pediatric ICU for recovery.
PICU and Ward Recovery
Monitored recovery in DDMM's dedicated Pediatric ICU followed by ward transfer. Device closure patients typically ready for resort transfer within 2 to 3 days. Surgical patients require 5 to 7 days in hospital. V & R liaison visits daily and keeps parents fully informed.
Resort Recovery at Boulevard 9
Transfer to Boulevard 9 Resort. Daily nursing visits, wound care, medication management, and cardiac monitoring. Child recovers in a comfortable family room with both parents present. Halal meals throughout. Short walks and gentle activity as appropriate.
Fit-to-Fly and Return Home
Final cardiac assessment by Dr. Peter's team including echocardiogram to confirm defect closure and stable heart function. Fit-to-fly clearance issued. Complete discharge documents prepared in English for your Malaysian pediatric cardiologist. V & R arranges airport transfer.
30 and 90 Day Follow-Up
V & R remains contactable for the full post-operative follow-up period. Discharge pack sent to your Malaysian pediatric cardiologist with full operative report, echocardiogram findings, medication schedule, and follow-up recommendations.
Everything
Handled
for Your Family
V & R Medical Service is based in Malaysia and manages every detail so parents can focus entirely on their child's recovery.
Start Your JourneyFree Echocardiogram and Report Review
Dr. Peter's team reviews your child's echo and reports within 48 hours. Written recommendation and personalised cost estimate at no charge.
Pre-Travel Surgeon Consultation
Direct video consultation with Dr. Peter before travel booking. Bahasa Malaysia interpretation available via our liaison.
VIP Airport and Hospital Transport
Private family transfer from Ahmedabad airport to DDMM and all hospital transfers during your stay. Child-friendly vehicles.
Dedicated Hospital Liaison
V & R representative at every consultation, ward round, and discharge briefing. Full Bahasa Malaysia support throughout.
Boulevard 9 Resort Recovery
Family accommodation with halal meals, daily nursing visits, and post-operative monitoring. Parents stay together with child.
Fit-to-Fly Medical Clearance
Echocardiogram-confirmed defect closure and cardiovascular stability assessment. Full discharge docs for your Malaysian pediatric cardiologist.
30 and 90 Day Follow-Up
V & R remains contactable after returning to Malaysia. Can connect your Malaysian pediatric cardiologist with Dr. Peter directly.
Why Malaysian families
choose V & R for their child's heart surgery
Expert Pediatric Cardiac Surgeon
Dr. Peter holds MS, MCh, DNB, and FIACS qualifications with comprehensive training in pediatric congenital heart surgery. DDMM's dedicated PICU and pediatric anaesthesiology team support every case.
NABH Accredited Hospital
DDMM Heart Institute holds full NABH accreditation - India's equivalent of Malaysia's MSQH. Independently audited for patient safety, clinical protocols, and outcomes. Pediatric patients are in safe, regulated hands.
No Waiting List for Children
Surgery scheduled within 7 days of arrival. For children with symptomatic ASD or VSD causing failure to thrive or heart failure, avoiding months of waiting in Malaysia's public system can be clinically critical.
Up to 60% Savings for Families
ASD device closure costs RM 18,000 to RM 25,000 via V & R versus RM 45,000 to RM 65,000 in Malaysian private hospitals. The saving allows families to manage the full trip including accommodation without financial strain.
Family-Centred Coordination
V & R understands that pediatric patients travel with at least two parents. All logistics are planned for a family, not an individual. Caregiver accommodation, child-friendly transport, and Bahasa Malaysia support throughout.
Malaysian Company, Local Support
V & R Medical Service is based in Malaysia (SSM No. 202503104245). We are a Malaysian company working for Malaysian families. Your child's discharge documents are prepared for direct use with your Malaysian pediatric cardiologist.
Frequently
Asked Questions
Honest answers to the most common questions from Malaysian parents considering ASD or VSD repair for their child in India.
Ask Us Directly
Send us your child's echo.
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