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Here in, we report a case of recurrent left atrial sarcoma which was removed by noteworthy surgical technique.Despite the emergent application of three-dimensional (3D) technology for thoracic reconstructions, reports regarding its use for the resolution of the heterogeneous subgroup of complex chest wall malformations are lacking. We aim to report a novel, standardized process of personalized repair of complex chest wall malformations comprising multidisciplinary, comprehensive surgical planning; surgical simulation on a 3D-printed scal