... erythematosus.Lancet 1990, 335:1541-4.16. Takayama T, Teramura M, Sakai H, Tamaki S, Okabayashi T, Kawashima T,Yamamoto T, Horie M, Suzuki T, Asai T: Perforated mitral valve aneurysmassociated ... echocardiography papillary fibroelas-tomausuallyariseviaapediclefrommitralvalvetissueor adjacent endocardium, and have a characteristicfrond-like appearance [31]. A remarkable feature that LSvegetations ... endocar-ditis (Fig 1) show a clear predisposition for the mitral and aortic valves and are nowadays seen as both a car-diac manifestation of systemic lupus erythematosus(SLE) and, more recently,...