General Thoracic and Cardiovascular Surgery

, Volume 65, Issue 11, pp 653–656 | Cite as

Massive left atrial calcification: a case report and review of the literature

  • Saeid Hosseini
  • Yousef Rezaei
  • Niloufar Samiei
  • Anita Sadeghpour
  • Mohammad Mehdi Peighambari
  • Carlos A. Mestres
  • Frank W. Sellke
Case Report


Left atrial (LA) calcification is mostly observed in patients with rheumatic mitral valve (MV) diseases who underwent surgical treatment. We report a case of LA calcification in a 69-year-old woman presented with dyspnea and cyanosis. Admission electrocardiogram showed atrial fibrillation and biventricular hypertrophy. Her chest roentgenogram revealed cardiomegaly and a curvilinear whitish shadow in the area of LA. Transthoracic echocardiography revealed severe mitral stenosis and massive LA thrombosis. The patient underwent an emergent surgery, during which the whitish line on chest roentgenogram proved to be a calcified LA inner wall. During an on-pump surgery with cardioplegic arrest, she underwent open MV commissurotomy along with the excision of calcified LA wall and clots. The patient was discharged with no complications. Literature reviews showed that this entity is mainly observed in patients with rheumatic heart disease and presented with respiratory symptoms. The diagnostic modalities, management, and prognosis of previous cases were summarized.


Left atrial calcification Rheumatic heart disease Mitral valve disease 


Compliance with ethical standards

Conflict of interest

The authors have declared that no conflict of interest exists.

Supplementary material

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Supplementary material 1 (DOCX 29 KB)


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Copyright information

© The Japanese Association for Thoracic Surgery 2017

Authors and Affiliations

  • Saeid Hosseini
    • 1
  • Yousef Rezaei
    • 1
  • Niloufar Samiei
    • 1
  • Anita Sadeghpour
    • 2
  • Mohammad Mehdi Peighambari
    • 1
  • Carlos A. Mestres
    • 3
  • Frank W. Sellke
    • 4
  1. 1.Heart Valve Disease Research Center, Rajaie Cardiovascular Medical and Research CenterIran University of Medical SciencesTehranIran
  2. 2.Echocardiography Research Center, Rajaie Cardiovascular Medical and Research CenterIran University of Medical SciencesTehranIran
  3. 3.Department of Cardiovascular SurgeryHospital ClinicoBarcelonaSpain
  4. 4.Division of Cardiothoracic Surgery, Warren Alpert School of MedicineBrown UniversityRhode IslandUSA

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