Case 224. Meningococcal endocarditis (27 y-o F)

       
  Autopsied heart with large verruca formation in the thickened mitral valve in case of meningococcal meningitis  
       

 

  Verruca is attached to the thickened mitral valve. Pre-existing rheumatic valvular disease is indicated by shortening of chorda tendinae and dilated left atrium (gross findings).