Aortic Valve Vegetation due to Nonbacterial Thrombotic Endocarditis in a Patient with Antiphospholipid Antibody Syndrome

• AV vegetation due to NBTE is a rare complication in patients with APLAS. • TEE is superior to TTE for detecting small lesions/masses on heart valves. • Management of AV vegetation is extremely challenging. • Patients should be closely followed up for potential thromboembolic complications.