This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Pathology
Which of these is TRUE regarding Libman sach's lesion - 
Select and explain. 
A. Causes perforation of valves, B. Involves mulitple valves, C. Consists of large vegetation, D. Vegetations on the surface of valve spreads to mural endocardium
D: Vegetations on the surface of valve spreads to mural endocardium
Answer: D: Vegetations on the surface of valve spreads to mural endocardium 
Explanation: None