Refer a Patient for Cardiac Surgery | Prof. Shahrul

Professional Referral

Why Refer to Prof. Shahrul at KPJ DSH2?

MICS Specialist — Active Programme

Prof. Shahrul leads one of the most active Minimally Invasive Cardiac Surgery programmes in private Kuala Lumpur — covering CABG, valve repair and replacement, congenital procedures, and VATS. He is among the few surgeons in Malaysia performing MICS CABG with published research support.

Fast Access — Days, Not Months

Consultation appointments are typically available within days of referral. Surgery can be scheduled within weeks where appropriate. This contrasts significantly with extended waiting times at some public and semi-government cardiac centres.

Mayo Clinic Care Network · JCI Accredited

KPJ Damansara Specialist Hospital 2 is Malaysia's first hospital in the Mayo Clinic Care Network, and holds JCI accreditation — giving your patients access to internationally benchmarked clinical protocols and quality standards.

Full Pre-Op Workup Available On-Site

DSH2's Hybrid Cath Lab with biplane angiography, Da Vinci Xi robotic system, and comprehensive cardiac imaging capabilities allow a full pre-operative workup to be completed at the same centre, minimising patient inconvenience.

"Prof. Shahrul and his team are committed to communicating with you throughout the patient journey — from the initial consultation to post-operative follow-up. You remain the patient's cardiologist; we handle the surgery."

— Prof. Dr. Shahrul Amry Hashim

Clinical Criteria

When to Consider Referring for MICS

The following clinical presentations are typically suitable for referral to Prof. Shahrul's MICS programme. Final suitability for minimally invasive versus conventional approach is determined at consultation.

Coronary Artery Disease

Triple vessel disease (TVD), LAD disease, or multi-vessel CAD where surgical revascularisation (CABG) is indicated and patient is unsuitable for or prefers to avoid conventional sternotomy.

Mitral Valve Disease

Significant mitral regurgitation (MR) or stenosis (MS) requiring surgical repair or replacement — particularly where keyhole approach is preferred or cosmesis is a consideration.

Aortic Valve Disease

Severe aortic stenosis (AS) or aortic regurgitation (AR) requiring surgical valve replacement, including combined CABG + AVR cases.

Tricuspid Valve Disease

Significant tricuspid regurgitation (TR) requiring repair — often in conjunction with mitral valve surgery or as an isolated procedure.

Atrial Septal Defect (ASD)

Surgical ASD closure — particularly Sinus Venosus ASD not amenable to catheter-based device closure — in adult or paediatric patients.

Atrial Fibrillation (AF)

Concurrent MAZE procedure and left atrial appendage ligation indicated at the time of valve or CABG surgery.

Surgical Lung Lesions

Resectable lung cancer, lung metastases, thymoma, or spontaneous pneumothorax requiring VATS lobectomy, thymectomy, bullectomy, or metastasectomy.

Complex Combined Cases

Multi-valve procedures, combined CABG + valve, MAZE + LAA ligation, redo CABG, aortic root and valve pathology — discussed at multidisciplinary team (MDT) level.

Pre-Operative Requirements

Pre-Operative Workup Required

To facilitate an efficient first consultation, please forward the following clinical documentation with your referral where available. Prof. Shahrul will advise if additional investigations are required.

✓Coronary Angiogram Report — including images/CD where possible
✓Echocardiogram Report — transthoracic (TTE) and/or transoesophageal (TOE) where performed
✓CT Scan — CT coronary angiogram or CT thorax where clinically relevant
✓Full Blood Count (FBC)
✓Renal Function Tests — urea, creatinine, eGFR
✓Liver Function Tests
✓Coagulation Profile
✓HbA1c — for diabetic patients
✓Current Medication List — including anticoagulants and antiplatelets
✓Relevant Previous Surgical / Cardiac History

Note

If investigations are incomplete, Prof. Shahrul can arrange the remaining workup at DSH2's Hybrid Cath Lab and full diagnostic imaging suite. Please proceed with referral and include whatever is currently available.

After Referral

The Referral Process

Once a referral is received, here is what typically happens:

1

Referral Received

Our team contacts the patient within 1 working day to arrange a consultation appointment — typically available within days.

2

Consultation with Prof. Shahrul

Prof. Shahrul reviews the clinical documentation, examines the patient, and discusses all surgical options — including suitability for minimally invasive approach.

3

MDT Discussion (where indicated)

Complex or combined cases are discussed at DSH2's multidisciplinary cardiac team meeting, involving cardiologists, surgeons, and anaesthesiology.

4

Pre-Operative Assessment & Surgery

Full pre-op workup at DSH2. Surgery scheduled and performed — typically within weeks of the decision to operate.

5

ICU, Ward & Discharge

Post-operative care in DSH2's cardiac ICU and ward. Most MICS patients discharged within 3–5 days.

6

Shared Post-Operative Follow-Up

Prof. Shahrul's team communicates with the referring cardiologist throughout — and coordinates shared post-operative follow-up care. You remain the patient's cardiologist.

Get in Touch

Contact for Referring Doctors

For professional enquiries, case discussions, or to submit a referral, please contact us using the details below. We aim to respond to all professional enquiries within one working day.

WhatsApp — Preferred for Referrals

Send patient details and clinical reports directly via WhatsApp for the fastest response. Our team monitors professional enquiries during working hours.

WhatsApp a Referral →

KPJ DSH2 Clinic Direct

KPJ Damansara Specialist Hospital 2
1 Jalan Bukit Lanjan 3, Bukit Lanjan, 60000 Kuala Lumpur

+60 17 720 7691

Monday – Saturday, 9:00 AM – 5:00 PM

Referral Form

Downloadable Referral Form

A standardised referral form for Prof. Dr. Shahrul Amry Hashim is available for download below. Please complete and submit via WhatsApp or email, together with the relevant clinical documentation.

Submit Referral via Contact Form WhatsApp Referral Directly

A PDF referral form will be made available here. Please contact the clinic directly in the interim.