Abstract
Left heart sarcomas and very complex left heart tumors may require cardiac explantation, ex vivo resection, and reconstruction and reimplantation of the heart - cardiac autotransplantation. Combined extensive cardiac resection and pneumonectomy may require a 2-step approach - the Texas Two Step. Finally, extensive ventricular tumors may require complete cardiac replacement. Our techniques for these difficult cases are discussed in this manuscript. Left heart sarcomas and very complex left heart tumors may require cardiac explantation, ex vivo resection, and reconstruction and reimplantation of the heart - cardiac autotransplantation. Combined extensive cardiac resection and pneumonectomy may require a 2-step approach - the Texas Two Step. Finally, extensive ventricular tumors may require complete cardiac replacement. Our techniques for these difficult cases are discussed in this manuscript.
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