A 42 year old woman was admitted for a urinary tract infection and a positive blood culture for bacteria. After discharge, she was readmitted for severe aortic insufficiency requiring an aortic valve replacement. The specimen showed endocarditis (image 5). What else was unusual about this valve?

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Benign adipose infiltration. This was described in Pantanowitz L and Jiang L. Fatty infiltration of the aortic valve. Int J Cardiol 2009, 134:e59 .

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