Admission of a patient to the ICU due to first-time tonic-clonic seizures.
Physical examination revealed a systolic murmur over the whole precordium and sinus bradycardia.
History of ischemic stroke one year ago with huge post-ischemic hypodense areas found during a CT scan; however, a deficit in function is not present. Rivaroxaban in pharmacological history.
Echocardiography was performed to reveal the cause of murmur: