The mitral valve cusps are thickened and nodular and the chordae tendinae are thickened too.
Friable vegetations are attached to the medial end of the opened mitral valve cusps.
The aortic valve cusps are also thickened.
Posterior aspect of the specimen: The right atrium and ventricle opened into. Vegetations seen at the edges of the tricuspid valve. Mural thrombi are seen lodged in the right atrial musculature.
