Acute Stanford A aortic dissection rarely makes a transition to the chronic state naturally, due to its high mortality. We present a rare case of chronic Stanford A aortic dissection post surgery, in a patient who remained stable for more than 1 year, and subsequently presented chest pain.

La disección aórtica Stanford A aguda rara vez hace una transición al estado crónico de forma natural, por su elevada mortalidad. Presentamos un caso raro de disección aórtica Stanford A crónica post cirugía, en un paciente que permaneció estable por más de 1 año, y posteriormente presentó dolor torácico.

Acute Stanford A aortic dissection rarely makes a transition to the chronic state naturally, due to its high mortality. We present a rare case of chronic Stanford A aortic dissection post surgery, in a patient who remained stable for more than 1 year, and subsequently presented chest pain.

Se presenta en caso de un varón de 55 años con diagnóstico de insuficiencia mitral severa por ruptura de músculo papilar; los hallazgos operatorios mostraron vegetaciones múltiples en la cabeza del musculo papilar anterolateral con ruptura total del mismo y velos valvulares normales. La histopatología mostró infiltrado inflamatorio polimorfonuclear en el tejido endocárdico y miocárdico, además vegetaciones fibrinosas en la superficie del musculo papilar, el cultivo del tejido resultó positivo a K. pneumoniae, concluyéndose como endocarditis aislada por infección directa del músculo papilar. El paciente recibió tratamiento antibiótico por seis semanas y fue dado de alta a los 45 días del ingreso con grado funcional I.

Background: Advanced cardiac imaging permits optimal targeting of cardiac treatment but needs to be faster, cheaper, and easier for global delivery. We aimed to pilot rapid cardiac magnetic resonance (CMR) with contrast in a developing nation, embedding it within clinical care along with training and mentoring. Methods and Results: A cross‐sectional study of CMR delivery and clinical impact assessment performed 2016–2017 in an upper middle‐income country. An International partnership (clinicians in Peru and collaborators from the United Kingdom, United States, Brazil, and Colombia) developed and tested a 15‐minute CMR protocol in the United Kingdom, for cardiac volumes, function and scar, and delivered it with reporting combined with training, education and mentoring in 2 centers in the capital city, Lima, Peru, 100 patients referred by local doctors from 6 centers. Management ch...