HEART – Non-bacterial endocarditis (complicating carcinoma of the lung)

There are nodular vegetations on the contact surfaces of both the mitral and aortic valves. The valves otherwise appear normal.
This man at the age of 58 was admitted to hospital with a history of being generally unwell. After admission he developed a right hemiplegia and showed evidence of multiple peripheral emboli in the short time before his death. Blood cultures were negative. At autopsy the valve vegetations were demonstrated. In addition this man showed a carcinoma of the left upper lobe of the lung and there was cerebral, renal, splenic and myocardial infarction.