Figure 1: Transthoracic echocardiogram in parasternal long-axis view. Vegetation emanating from the anterior mitral valve leaflet is marked by an asterisk. LA: left atrium; LV: left ventricle; LVOT: left ventricular outflow tract; AV: aortic valve; Ao: aorta; AMVL: anterior mitral valve leaflet; PMVL: posterior mitral valve leaflet.