Alessandro Viviano
Surgeon - Cardiothoracic
Hammersmith Hospital - Imperial College Healthcare NHS Trust
150 Du Cane Rd, London, W12 0HS, United Kingdom
About
Clinical Profile
Mr. Alessandro Viviano is a Consultant Cardiac Surgeon and leading Aortic Surgeon at Imperial College Healthcare NHS Trust, Hammersmith Hospital. With nearly two decades in cardiac surgery and over three years in his current role, he specializes in adult cardiac and complex aortic procedures. He also serves as the Clinical Governance Lead for Cardiac Surgery at Imperial College London, emphasizing high standards of patient care.
Medical Training and Experience
Mr. Viviano graduated from the University of Rome in 2007. He completed his specialization in cardiothoracic surgery at the University of Rome and the London Deanery, training at institutions including Imperial College London, The Royal Sussex County Hospital, Guy's Hospital, and St George’s Hospital. He further advanced his expertise with a fellowship at Waikato Hospital in New Zealand and earned an MD Res from St George's University of London and King's College London.
Areas of Expertise
• Complex Aortic Surgery: Aortic root replacement, valve-sparing aortic root replacement, ascending aorta replacement, complex aortic reoperations, total arch replacement, and repair of acute type A aortic dissection.
• Minimally Invasive Surgery: Minimal access aortic valve surgery.
• Surgery for Infective Endocarditis: Aortic and mitral valve replacement, repair of complex aortic and mitral endocarditis with reconstructive surgery for valve-related infections.
• Coronary Artery Bypass Grafting (CABG): CABG using multi-arterial conduits.
Leadership and Innovation
At Imperial College, Mr. Viviano has been instrumental in developing services for aortic dissection and complex aortic surgery. He established the Aortovascular Multi-Disciplinary Team (MDT) to ensure comprehensive patient care and is working towards creating a specialized aortovascular clinic and an advanced aortic fellowship.
Teaching and Research
Committed to education, Mr. Viviano mentors upcoming cardiothoracic surgeons within the London Deanery. He has numerous peer-reviewed publications and has presented nationally and internationally, reflecting his dedication to advancing the field.
Personal
Outside of his professional commitments, Mr. Viviano enjoys family life with his wife and two children. He has a passion for travel and is fluent in English and Italian, with proficiency in German and Japanese.
Mr. Alessandro Viviano is a Consultant Cardiac Surgeon and leading Aortic Surgeon at Imperial College Healthcare NHS Trust, Hammersmith Hospital. With nearly two decades in cardiac surgery and over three years in his current role, he specializes in adult cardiac and complex aortic procedures. He also serves as the Clinical Governance Lead for Cardiac Surgery at Imperial College London, emphasizing high standards of patient care.
Medical Training and Experience
Mr. Viviano graduated from the University of Rome in 2007. He completed his specialization in cardiothoracic surgery at the University of Rome and the London Deanery, training at institutions including Imperial College London, The Royal Sussex County Hospital, Guy's Hospital, and St George’s Hospital. He further advanced his expertise with a fellowship at Waikato Hospital in New Zealand and earned an MD Res from St George's University of London and King's College London.
Areas of Expertise
• Complex Aortic Surgery: Aortic root replacement, valve-sparing aortic root replacement, ascending aorta replacement, complex aortic reoperations, total arch replacement, and repair of acute type A aortic dissection.
• Minimally Invasive Surgery: Minimal access aortic valve surgery.
• Surgery for Infective Endocarditis: Aortic and mitral valve replacement, repair of complex aortic and mitral endocarditis with reconstructive surgery for valve-related infections.
• Coronary Artery Bypass Grafting (CABG): CABG using multi-arterial conduits.
Leadership and Innovation
At Imperial College, Mr. Viviano has been instrumental in developing services for aortic dissection and complex aortic surgery. He established the Aortovascular Multi-Disciplinary Team (MDT) to ensure comprehensive patient care and is working towards creating a specialized aortovascular clinic and an advanced aortic fellowship.
Teaching and Research
Committed to education, Mr. Viviano mentors upcoming cardiothoracic surgeons within the London Deanery. He has numerous peer-reviewed publications and has presented nationally and internationally, reflecting his dedication to advancing the field.
Personal
Outside of his professional commitments, Mr. Viviano enjoys family life with his wife and two children. He has a passion for travel and is fluent in English and Italian, with proficiency in German and Japanese.
Research
1: Duregotti E, Reumiller CM, Mayr U, Hasman M, Schmidt LE, Burnap SA,
Theofilatos K, Barallobre-Barreiro J, Beran A, Grandoch M, Viviano A, Jahangiri
M, Mayr M. Reduced secretion of neuronal growth regulator 1 contributes to
impaired adipose-neuronal crosstalk in obesity. Nat Commun. 2022 Nov
25;13(1):7269. doi: 10.1038/s41467-022-34846-w. PMID: 36433953; PMCID:
PMC9700863.
2: Frisiras A, Giannas E, Bobotis S, Kanella I, Arjomandi Rad A, Viviano A,
Spiliopoulos K, Magouliotis DE, Athanasiou T. Comparative Analysis of Morbidity
and Mortality Outcomes in Elderly and Nonelderly Patients Undergoing Elective
TEVAR: A Systematic Review and Meta-Analysis. J Clin Med. 2023 Jul
29;12(15):5001. doi: 10.3390/jcm12155001. PMID: 37568406; PMCID: PMC10420243.
3: Abbasciano RG, Magouliotis DE, Koulouroudias M, Spiliopoulos K, Xanthopoulos
A, Kourliouros A, Casula R, Athanasiou T, Viviano A. Valve Type and Operative
Risks in Surgical Explantation of Transcatheter Aortic Valves: A Systematic
Review and Meta-Analysis. J Clin Med. 2024 Feb 23;13(5):1262. doi:
10.3390/jcm13051262. PMID: 38592075; PMCID: PMC10932147.
4: Magouliotis DE, Arjomandi Rad A, Kourliouros A, Viviano A, Koulouroudias M,
Salmasi MY, Briasoulis A, Triposkiadis F, Skoularigis J, Athanasiou T.
Transcriptomic Analysis of Tight Junction Proteins Demonstrates the Aberrant
Expression and Function of Zona Occludens 2 (ZO-2) Protein in Stanford Type A
Aortic Dissection. J Pers Med. 2023 Dec 9;13(12):1697. doi: 10.3390/jpm13121697.
PMID: 38138924; PMCID: PMC10744791.
5: Viviano A, Kanagasabay R, Zakkar M. Is perioperative corticosteroid
administration associated with a reduced incidence of postoperative atrial
fibrillation in adult cardiac surgery? Interact Cardiovasc Thorac Surg. 2014
Feb;18(2):225-9. doi: 10.1093/icvts/ivt486. Epub 2013 Nov 19. PMID: 24254538;
PMCID: PMC3895075.
6: Naderi H, Abbara A, Viviano A, Asaria P, Pabari PA, Flora R, Punjabi PP, Rana
BS. Re-emphasising the importance of histopathological diagnosis in suspected
bacterial endocarditis. Perfusion. 2023 Jan;38(1):197-199. doi:
10.1177/02676591211038886. Epub 2021 Aug 11. PMID: 34378442.
7: Koulouroudias M, Velissarios K, Kokotsakis J, Magouliotis DE, Tsipas P,
Arjomandi Rad A, Viviano A, Kourliouros A, Athanasiou T. Sizing the Frozen
Elephant Trunk Based on Aortic Pathology and the Importance of Pre-Operative
Imaging. J Clin Med. 2023 Oct 29;12(21):6836. doi: 10.3390/jcm12216836. PMID:
37959302; PMCID: PMC10649248.
8: Billé A, Buxton J, Viviano A, Gammon D, Veres L, Routledge T, Harrison-Phipps
K, Dixon A, Minetto MA. Preoperative Physical Activity Predicts Surgical
Outcomes Following Lung Cancer Resection. Integr Cancer Ther. 2021 Jan-
Dec;20:1534735420975853. doi: 10.1177/1534735420975853. PMID: 33835869; PMCID:
PMC8040616.
9: Arjomandi Rad A, Naruka V, Vardanyan R, Viviano A, Salmasi MY, Magouliotis D,
Kendall S, Casula R, Athanasiou T. Mitral and tricuspid annuloplasty ring
dehiscence: a systematic review with pooled analysis. Eur J Cardiothorac Surg.
2021 Oct 22;60(4):801-810. doi: 10.1093/ejcts/ezab178. PMID: 33880496; PMCID:
PMC8535527.
10: Barallobre-Barreiro J, Gupta SK, Zoccarato A, Kitazume-Taneike R, Fava M,
Yin X, Werner T, Hirt MN, Zampetaki A, Viviano A, Chong M, Bern M, Kourliouros
A, Domenech N, Willeit P, Shah AM, Jahangiri M, Schaefer L, Fischer JW, Iozzo
RV, Viner R, Thum T, Heineke J, Kichler A, Otsu K, Mayr M. Glycoproteomics
Reveals Decorin Peptides With Anti-Myostatin Activity in Human Atrial
Fibrillation. Circulation. 2016 Sep 13;134(11):817-32. doi:
10.1161/CIRCULATIONAHA.115.016423. Epub 2016 Aug 24. PMID: 27559042; PMCID:
PMC5081096.
11: Soppa G, Yates M, Viviano A, Smelt J, Valencia O, van Besouw JP, Jahangiri
M. Trainees can learn minimally invasive aortic valve replacement without
compromising safety. Interact Cardiovasc Thorac Surg. 2015 Apr;20(4):458-62.
doi: 10.1093/icvts/ivu428. Epub 2015 Jan 7. PMID: 25568258.
12: Fudulu DP, Layton GR, Nguyen B, Sinha S, Dimagli A, Guida G, Abbasciano R,
Viviano A, Angelini GD, Zakkar M. Trends and outcomes of concomitant aortic
valve replacement and coronary artery bypass grafting in the UK and a survey of
practices. Eur J Cardiothorac Surg. 2023 Oct 4;64(4):ezad259. doi:
10.1093/ejcts/ezad259. PMID: 37462523; PMCID: PMC10580967.
13: Viviano A, Yin X, Zampetaki A, Fava M, Gallagher M, Mayr M, Jahangiri M.
Proteomics of the epicardial fat secretome and its role in post-operative atrial
fibrillation. Europace. 2018 Jul 1;20(7):1201-1208. doi:
10.1093/europace/eux113. PMID: 28582578.
14: Lang P, Manickavasagar M, Burdett C, Treasure T, Fiorentino F; UK
Cardiothoracic Trainees’ Research Collaborative; UK Cardiothoracic Trainees’
Research Collaborative. Suction on chest drains following lung resection:
evidence and practice are not aligned. Eur J Cardiothorac Surg. 2016
Feb;49(2):611-6. doi: 10.1093/ejcts/ezv133. Epub 2015 Apr 12. PMID: 25870218.
15: Steele D, Viviano A, Bilkhu R, Diab M, Bogle R, Sharma V, Jahangiri M.
Gigantic Saphenous Vein Graft Aneurysm Presenting as Pulsatile Anterior Chest
Wall Mass. Ann Thorac Surg. 2016 Sep;102(3):e263. doi:
10.1016/j.athoracsur.2016.03.081. PMID: 27549561.
16: Viviano A, Steele D, Edsell M, Jahangiri M. Over-the-counter natural
products in cardiac surgery: a case of ginseng-related massive perioperative
bleeding. BMJ Case Rep. 2017 Aug 7;2017:bcr2016218068. doi:
10.1136/bcr-2016-218068. PMID: 28784871; PMCID: PMC5612204.
17: Arjomandi Rad A, Ansaripour A, Magouliotis DE, Abbasciano RG, Koulouroudias
M, Viviano A, Rosendahl U, Athanasiou T, Kourliouros A. Surgical Strategies in
Reoperation of the Proximal Aorta and Arch for Patients with Previous Frozen
Elephant Trunk. J Clin Med. 2024 Jul 11;13(14):4063. doi: 10.3390/jcm13144063.
PMID: 39064105; PMCID: PMC11278031.
18: Magouliotis DE, Arjomandi Rad A, Viviano A, Oo AY, Xanthopoulos A, Sicouri
S, Ramlawi B, Athanasiou T. Hemostatic Properties of Aortic Root Preservation
versus Root Replacement for Acute Type A Aortic Dissection: A Pooled Analysis.
Life (Basel). 2024 Oct 1;14(10):1255. doi: 10.3390/life14101255. PMID: 39459555;
PMCID: PMC11508654.
19: Birks T, Hughes-Hallett A, Cazzaniga W, Macys A, Viviano A, Mumtaz F, Nicol
D. ‘Case of the Month’ from Imperial College Hospitals, London, UK: pulmonary
embolectomy following embolism during caval tumour thrombus nephrectomy for
renal cell carcinoma. BJU Int. 2024 Jul 26. doi: 10.1111/bju.16491. Epub ahead
of print. PMID: 39058225.
20: Magouliotis DE, Sicouri S, Rad AA, Skoularigis J, Giamouzis G, Xanthopoulos
A, Karamolegkou AP, Viviano A, Athanasiou T, Ramlawi B. In-depth Computational
Analysis Reveals The Significant Dysregulation of Key Gap Junction Proteins
(GJPs) Driving Thoracic Aortic Aneurysm Development. Hellenic J Cardiol. 2025
Jan 10:S1109-9666(25)00001-6. doi: 10.1016/j.hjc.2025.01.001. Epub ahead of
print. PMID: 39800318.
Practice Areas
Cardiac
Organizations
Other Interests
Clinical Governance
Published by Alessandro
Pleura
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