Episode 87: Aortic Dissection with Tom Metkus

In this episode of the ACCRAC podcast, Jed Wolpaw interviews Dr. Tom Metkus about the management of aortic dissections. Dr. Metkus explains the different types of aortic dissections (Type A and Type B), their classifications, and associated acute aortic syndromes. The discussion covers the clinical presentation of aortic dissections, diagnostic approaches, and the importance of differentiating them from other conditions like myocardial infarction. The podcast further delves into the etiology of aortic dissections, indications for surgical versus medical management, and the specifics of medical therapy, including heart rate and blood pressure control. The surgical management of both Type A and Type B dissections is discussed, including the role of bypass, circulatory arrest, and endovascular procedures. The episode concludes with a discussion on the risk of recurrence, post-operative care, and a summary of key commandments for managing acute aortic dissections.