Mitral Valve Replacement Associated With Massive Left Atrial Calcification

Massive calcification of the atrial walls is a rare condition that entails important implications for mitral valve operations. Endoatriectomy is the procedure of choice in this situation. A technique of total replacement of the left atrium and mitral valve by means of a valved, image-shaped graft is presented as a possible alternative when a more conventional approach is not feasible.