Abstract

The management of patients with dilated non-ischemic cardiomyopathy with a large anterior ventricular aneurysm presenting with ventricular tachycardia is not well described. We report a 45-year-old gentleman who presented with recurrent episodes of prolonged polymorphic ventricular tachycardia and previously failed medical management and endocardial and epicardial transcatheter ablation. We performed a Dor procedure to exclude the apical left ventricular aneurysm in conjunction with cryoablation to terminate his ventricular tachycardia. This surgical approach was found to be successful with conversion of the patient into normal sinus rhythm and restoration of the patient's left ventricular morphology and function.