Figure 10.

Nonbacterial thrombotic endocarditis. (a) NBTE arising in the context of antiphospholipid syndrome affecting the mitral valve (MV) in diastolic kissing lesions is well visualized. (b) In systole the MV kissing lesions more difficult. (c) Associated mitral regurgitation (MR). (d) Patient with pancreatic cancer and presenting with a stroke TEE zoom view of the aortic valve (AV) in short axis during systole with thickened midportion of all 3 leaflets (arrows) can be subtle and confused with nodules of Arantius. (e) Showing the AV in systole, short axis view, measurements of the left and right aortic cusp NBTE vegetations (arrows). (f) Showing the AV in systole, long-axis view, measurements of the left and right aortic cusp NBTE vegetations (arrows).

Abbreviations: NBTE, nonbacterial thrombotic endocarditis; TEE, transesophageal echocardiography.