The large-conductance Ca
2+
- and voltage-activated K
+
channel (BK
Ca,
MaxiK), which is encoded by the
Kcnma1
gene, is generally expressed at the plasma membrane of excitable and nonexcitable cells. However, in adult cardiomyocytes, a BK
Ca
-like channel activity has been reported in the mitochondria but not at the plasma membrane. The putative opening of this channel with the BK
Ca
agonist, NS1619, protects the heart from ischemic insult. However, the molecular origin of mitochondrial BK
Ca
(mitoBK
Ca
) is unknown because its linkage to
Kcnma1
has been questioned on biochemical and molecular grounds. Here, we unequivocally demonstrate that the molecular correlate of mitoBK
Ca
is the
Kcnma1
gene, which produces a protein that migrates at ∼140 kDa and arranges in clusters of ∼50 nm in purified mitochondria. Physiological experiments further support the origin of mitoBK
Ca
as a
Kcnma1
product because NS1619-mediated cardioprotection was absent in
Kcnma1
knockout mice. Finally, BK
Ca
transcript analysis and expression in adult cardiomyocytes led to the discovery of a 50-aa C-terminal splice insert as essential for the mitochondrial targeting of mitoBK
Ca
.