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A patient with a history of HIV and known coronary artery disease presented with fevers. Chest x-ray showed bilateral infiltrates, and a trans-thoracic echocardiogram (TTE) obtained on the first hospital day showed an ejection fraction of 43% with hypokinesis of the basal and mid-anterior segments. The patient's course was complicated by continued fevers but blood cultures remained negative; upon rereview of the initial TTE, a highly mobile echogenic linear mass was appreciated on the left ventricular outflow tract side of the aortic valve (see online supplementary video …
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