Tehran University of Medical Sciences The Research in Heart Yield and Translational Medicine (RHYTHM) 3115-7270 1 3 2006 07 19 167 170 Seyed Kianoosh Hoseini Tehran Heart Center, Tehran University of Medical Sciences, Tehran, Iran. Maryam Mehrpooya Tehran Heart Center, Tehran University of Medical Sciences, Tehran, Iran. 2015 10 03 A 45- year old man with a history of Aortic Valve replacement presented with acute chest pain which was diagnosed to be anterior wall myocardial infarction. He received thrombolytic therapy with streptokinase. Echocardiography and fluoroscopy showed normally functioning ball and cage aortic prosthesis. Coronary arteriography showed globular filling defect in midportion of left anterior descending coronary artery, most probably embolized thrombus. The patient underwent medical treatment especially warfarin with higher range of INR without any intervention. He had a smooth in-hospital course and uneventful recovery. https://rhythm.tums.ac.ir/index.php/jthc/article/view/31 https://rhythm.tums.ac.ir/index.php/jthc/article/download/31/29