Patients discuss what it's really like to experience an aortic dissection. Hosted by Roy Shepherd, Martin Hilton and Edward “Monty” Montgomery, both survivors of aortic dissection, share their personal journeys, while Professor Mark Field, Head of Aortic Surgery at Liverpool Heart and Chest Hospital, provides expert insight.
The episode covers the anatomy of the aorta, what makes an aortic dissection a medical emergency, and the challenges of diagnosis. It explores risk factors such as high blood pressure, genetic conditions, and extreme exertion, alongside practical advice on recovery, emotional adjustment, and patient advocacy.
This honest and informative conversation is vital viewing for patients, families, clinicians and anyone looking to better understand aortic dissection.
Chapters:
(00:00) - Introduction
(00:34) - Explanation of what aortic dissection is: anatomy, layers of the aorta, and basic function
(02:02) - Difference between type A and type B dissections; urgency of type A cases
(03:09) - Complications by location: effects on heart, brain, spinal cord, organs
(05:12) - Why blood pressure is often a key cause
(07:22) - Predisposing factors: hypertension, genetic syndromes (e.g. Marfan, Ehlers–Danlos), lifestyle factors
(09:26) - Monty’s emergency experience: sudden incomprehension, diagnosis, and swift surgery at St Thomas’s Hospital
(11:17) - Martin’s experience: a sedentary run, odd chest sensation, collapse at home, rapid deterioration
(15:11) - Challenges in screening and incidental detection via CT scans
(22:25) - Discussion on improving diagnosis: A&E challenges, importance of awareness, and charity initiatives
(26:00) - The Aortic Dissection Toolkit: systematic approach to diagnosis and care, improving national services
(31:40) - Expert advice by Mark: advocate for yourself/family in healthcare, ask questions, don’t accept assumptions