Sarcoma Resection With Complete Removal of Left Atrial Posterior Wall

We report a case of recurrent left atrial (LA) intimal sarcoma invading pulmonary veins (PVs) that was treated by a novel surgical approach-resecting LA wall and PVs down to segmental levels, and then creating neo-LA using lung hilum and posterior mediastinal soft tissue without further reconstructive procedures. This surgical approach may be useful in selected cases with primary cardiac malignancy involving LA and PVs in the aim of achieving complete resection of the tumor.