Percutaneous management of coronary embolism with prosthetic heart valve thrombosis after Bentall's procedure.

We describe a young male who had undergone a Bentall's procedure seven years ago presenting with acute severe chest pain. He was diagnosed to have coronary embolism from prosthetic heart valve thrombosis. Multiple treatment strategies for the patient were available and we briefly discuss the merits of each of them. We also describe the encountered difficulties in the percutaneous revascularization procedure.