<h1>Survey finds wide variation in acute Type A aortic dissection care, raising liability, institutional duty, informed consent concerns</h1> A nationwide survey by a senior cardiothoracic surgeon reports significant variation in management of acute Type A aortic dissection across India, highlighting delayed diagnosis, limited infrastructure, and uneven access to specialized surgical care. Legally relevant issues include potential professional liability where delayed recognition or failure to refer to specialized centers may breach standards of care, institutional obligations to maintain emergency cardiac services, and public health duties to improve awareness and timely access. Adoption of advanced procedures raises informed-consent and credentialing considerations for surgeons and hospitals to mitigate risk and improve outcomes.