
Figure 1.
Transesophageal echocardiogram. (A) Mid-esophageal (ME) apical 4-chamber view, and (B) ME aortic valve long-axis view showing a pedunculated mass (arrows) attached to interannular fibrosa of aortic valve.

Figure 2.
(A) Histopathology of valve lesion consisted predominantly of homogeneous thrombotic material staining bright pink in routine hematoxylin and eosin stain (right); upper left shows small fragment of free edge of valve with early reactive fibrosis and lack of acute inflammation. (B) Higher power of thrombotic material that comprised most of the lesion shows typical pattern of acute thrombus; no evidence of infective organisms was seen. Original magnification: × 40 (A); × 100 (B).