Non-bacterial thrombotic endocarditis is a recognised complication of malignancy (occurring in 0.3-9.3% of patients in autopsy series), and is most commonly associated with lung cancer. We describe a fatal case of non-bacterial thrombotic endocarditis associated with stage IIIB adenocarcinoma of the lung in which the transoesophageal echocardiogram was negative. Recommendations for management of such cases are given.
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Department of Cardiovascular Diseases, Mayo Clinic, Rochester, MN, USA. Electronic address:
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