Surgical Strategies in Acute Type A Aortic Dissection

  • Mark FieldEmail author
  • Deborah Harrington
  • Omar Nawaytou
  • Manoj Kuduvalli


Acute Type A aortic dissection is a lethal condition requiring immediate surgery. This chapter discusses strategies for improving diagnosis, early medical management, transfer and operative approaches. The experience is based largely on our practice in the Liverpool Heart and Chest Hospital and is a practical guide to achieving a series of marginal gains in every step of the pathway to create a system that is more than the sum of its parts, providing better outcomes for patients. In addition, we describe a series of Key Quality Indicators that may be used to monitor and improve a service.


Dissection Strategy Malperfusion Cannulation Haemostasis Standard Operating Protocol 



We would like to acknowledge several individuals who have been involved in data analysis including Mohamad Bashir, Mathew Shaw, Jaycinth Tan and Mike Roberts.


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Copyright information

© Springer-Verlag GmbH Austria, part of Springer Nature 2019

Authors and Affiliations

  • Mark Field
    • 1
    Email author
  • Deborah Harrington
    • 1
  • Omar Nawaytou
    • 1
  • Manoj Kuduvalli
    • 1
  1. 1.Thoracic Aortic Aneurysm ServiceLiverpool Heart and Chest HospitalLiverpoolUK

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