Embolic Stroke as the Initial Manifestation of Systemic Lupus Erythematosus

Figure 2

((a) and (b)) A cardiac transesophageal echocardiogram revealing severe mitral regurgitation and thickening of mitral valve leaflets with mitral valve leaflets not coapting and a small mass on the atrial side of the anterior mitral valve leaflet (arrow) suggesting Libman-Sacks endocarditis.

(a)

(b)