Radical Surgery for Recurrent Pulmonary Artery Sarcoma With 4-Year Survival.

Primary pulmonary artery sarcoma is a rare disease with poor prognosis. Radical resection provides the best curative chances. Our 60-year old male patient underwent pulmonary artery sarcoma excision with pericardial patch repair of the main pulmonary artery in 2017, but required reoperation in 2019 due to recurrence. Total pulmonary artery bifurcation replacement was performed using a handmade 2-limbed bovine pericardial tube graft. This technique is safe and reproducible, and may offer a valuable alternative surgical strategy for this patient cohort. Our patient is still alive 4 years after initial presentation.