General Thoracic and Cardiovascular Surgery

, Volume 67, Issue 1, pp 32–36 | Cite as

Decoding the volume–outcome relationship in Type A aortic dissection

  • Athanasios Antoniou
  • Mohamad Bashir
  • Amer Harky
  • Benjamin Adams
  • Rakesh Uppal
SPECIAL EDITION Controversies in Surgery for Thoracic Aorta


Over the past few decades, the advents in monitoring, imaging, diagnostics, and implementation of multidisciplinary team approach in Type A aortic dissection surgery resulted in improved surgical outcomes. One other factor that needed to be targeted and carefully analyzed was the volume–outcome relationship on hospital and surgeon level in the settings of Type A dissection. This surely sprung form reports which indicated that supercenters providing aortic services with concentrated expert and expertise were performing better than smaller centers. We dwell in this article on the body of evidence to support concentration of experts and the effect of this organization on volume, referral, and outcome in Type A aortic dissection.


Volume–outcome relationship Aortic dissection Aortic surgeon Aortic center 



No source of funding obtained for this study.

Compliance with ethical standards

Conflict of interest

All the authors disclose no conflict of interests.

Ethical approval

No ethical approval required for this study.


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Copyright information

© The Japanese Association for Thoracic Surgery 2018

Authors and Affiliations

  • Athanasios Antoniou
    • 1
  • Mohamad Bashir
    • 1
  • Amer Harky
    • 1
  • Benjamin Adams
    • 1
  • Rakesh Uppal
    • 1
  1. 1.Department of Cardiac Surgery, Barts Heart CentreSt Bartholomew’s HospitalLondonUK

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