Abstract
This report describes definitive diagnosis of coronary embolization of Valsalva thrombus after transcatheter aortic valve implantation by using serial multimodality imaging. Valsalva thrombus has been reported not to be related to an increased risk of adverse events, but this case suggests the need for future studies on the characteristics of Valsalva thrombus with high embolic risk to determine the indications for prophylactic anticoagulation.