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As mediastinal sarcomas commonly present as large tumors invading adjacent vital structures, complete re-section is frequently challenging. For such tumors, aggressive surgical strategies, such as the resection and reconstruction of the invaded vital structures under cardiopulmonary bypass, may be required to achieve complete resection and to improve survival. Herein, we report a case of recurrent mediastinal sarcoma in-vading the aortic arch and arch vessels that was successfully removed by total arch replacement.