A 43-year-old alcoholic male was found dead in bed. Toxicology demonstrated an alcohol level of 198 mg/dl. An autopsy was performed.
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Endocarditis and infectious thrombi.
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This case also featured a congenital bicuspid aortic valve and an anomalous coronary artery origin. The vegetation seen in the first image could easily be mistaken for a large lambl's excrescence or a small fibroelastoma.
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