Mr Alessandro Viviano Consultant cardiac and aortic surgeon

Background

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.

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.

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.

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.

 

Expertise

Minimal access aortic valve surgery; CABG using multi-arterial conduits; aortic root replacement; valve-sparing aortic root replacement; ascending aorta replacement; complex aortic reoperations; total arch replacement and frozen elephant trunk; repair of acute type A aortic dissection; surgery for infective endocarditis; mitral valve replacement.

Research & publications

1. In-depth Computational Analysis Reveals The Significant Dysregulation of Key Gap Junction Proteins Hellenic J Cardiol. 2025

2. Hemostatic Properties of Aortic Root Preservation versus Root Replacement for Acute Type A Aortic Dissection: A Pooled Analysis. Life (Basel). 2024

3. Surgical Strategies in Reoperation of the Proximal Aorta and Arch for Patients with Previous Frozen Elephant Trunk. J Clin Med. 2024

4. '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

5. Valve Type and Operative Risks in Surgical Explantation of Transcatheter Aortic Valves: A Systematic Review and Meta-Analysis. J Clin Med. 2024

6. 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

7. Sizing the Frozen Elephant Trunk Based on Aortic Pathology and the Importance of Pre-Operative Imaging. J Clin Med. 2023

8. 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

9. 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

10. Reduced secretion of neuronal growth regulator 1 contributes to impaired adipose-neuronal crosstalk in obesity. Nat Commun. 2022

11. Re-emphasising the importance of histopathological diagnosis in suspected bacterial endocarditis. Perfusion. 2023

12. Mitral and tricuspid annuloplasty ring dehiscence: a systematic review with pooled analysis. Eur J Cardiothorac Surg.2021

13. Preoperative Physical Activity Predicts Surgical Outcomes Following Lung Cancer Resection. Integr Cancer Ther. 2021

14. Over-the-counter natural products in cardiac surgery: a case of ginseng-related massive perioperative bleeding. BMJ Case Rep. 2017

15. Proteomics of the epicardial fat secretome and its role in post-operative atrial fibrillation. Europace. 2018

16. Glycoproteomics Reveals Decorin Peptides With Anti-Myostatin Activity in Human Atrial Fibrillation. Circulation. 2016

17. Gigantic Saphenous Vein Graft Aneurysm Presenting as Pulsatile Anterior Chest Wall Mass. Ann Thorac Surg. 2016

18. 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

19. Trainees can learn minimally invasive aortic valve replacement without compromising safety. Interact Cardiovasc Thorac Surg. 2015

20. Is perioperative corticosteroid administration associated with a reduced incidence of postoperative atrial fibrillation in adult cardiac surgery? Interact Cardiovasc Thorac Surg. 2014

 

Private practice

Visit the Imperial College Healthcare Private care website