Successful surgical repair in a patient with mitral stenosis, calcified left atrium and severe tricuspid regurgitation with a giant right atrium.

Successful mitral valve replacement and tricuspid annuloplasty were performed on a 66-year-old woman who had a calcified left atrium, giant right atrium, calcified mural thrombus and normal pulmonary pressures. Successful repair in such cases depends on an adequate preoperative investigation and a surgical approach tailored to the individual.