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.

Original languageEnglish (US)
Pages (from-to)409-421
Number of pages13
JournalOperative Techniques in Thoracic and Cardiovascular Surgery
Issue number3
StatePublished - Sep 1 2021


  • autotransplant
  • sarcoma
  • tumor

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine


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