An amazing dance across the aortic valve.

Vegetation of infective endocarditis presenting as a mobile mass at the left ventricular outflow tract (LVOT) in the absence of abnormalities of the cardiac chambers or the valves is unusual. Surgical removal is the treatment of choice for a mobile mass lesion in the LVOT to avoid its high risk for embolisation. A case of infective endocarditis caused by aminoglycoside-resistant Enterococcus faecalis that presented with a highly mobile mass in the LVOT in a patient without other cardiac abnormalities is reported here. Because the patient refused surgical treatment, he was managed with a 6-week course of benzyl penicillin and ceftriaxone.