A 49-year-old woman had atrial fibrillation that was poorly controlled, even with amiodarone therapy. She dies suddenly at home. At autopsy, her heal1 is enlarged and noted to have a mitral

A 49-year-old woman had atrial fibrillation that was poorly controlled, even with amiodarone therapy. She dies suddenly at home. At autopsy, her heal1 is enlarged and noted to have a mitral valve with pa1tial fusion of the leaflets along with thickening and shortening of the chordae tendineae. There is an enlarged left atrium filled with mural thrombus. Which of the following complications of her mitral valve is she most likely to have?

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