Eric H. Sladek, MD, Kevin D. Accola, MD  The Annals of Thoracic Surgery 

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Antiphospholipid Syndrome and Libman-Sacks Endocarditis in a Bioprosthetic Mitral Valve  Eric H. Sladek, MD, Kevin D. Accola, MD  The Annals of Thoracic Surgery  Volume 101, Issue 2, Pages e29-e31 (February 2016) DOI: 10.1016/j.athoracsur.2015.06.113 Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Explanted pericardial bioprosthetic mitral valve. The Annals of Thoracic Surgery 2016 101, e29-e31DOI: (10.1016/j.athoracsur.2015.06.113) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Alternate view of explanted pericardial bioprosthetic mitral valve. The Annals of Thoracic Surgery 2016 101, e29-e31DOI: (10.1016/j.athoracsur.2015.06.113) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 This high-power view of the surface of the adherent fibrinous exudate shows small collections of neutrophils, monocytes, and small lymphocytes without apparent bacterial colonies (confirmed by separate tissue Gram stain of the Brown-Hopp method) or other infectious organisms (magnification 40x). The Annals of Thoracic Surgery 2016 101, e29-e31DOI: (10.1016/j.athoracsur.2015.06.113) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions