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7273 Surgery

At the time of autopsy of a 39-yrs-old woman who died of complications of SLE, several medium-sized vegetations are found on both sides of the mitral valve and tricuspid valve. Which of the following is the basic abnormality that produced these cardiac vegetations?

ATurbulent blood flow through' an incompetent mitral valve
BExcess secretion of a vasoactive amine
CPresence of an anticardiolipin antibody
DCachexia produced by a hypercoagulable state
Surgery
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