Introduction Non-bacterial thrombotic endocarditis (NBTE) is a phenomenon associated with sterile vegetations composed of fibrin and platelets aggregating on healthy heart valves. Most cases are diagnosed after death or in patients experiencing systemic embolization. Diagnosis relies on clinical suspicion and a compatible echocardiographic image. The correct treatment is long-term systemic anticoagulation to avoid arterial embolization, which often presents as multiple and recurrent ischemic strokes. The first antemortem report of NBTE as the initial presentation of underlying pancreatic cancer was published […]