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.