title: [Surgery for Ventricular Tachycardia Arising from Left Ventricular Aneurysm in a Patient with Dilated Cardiomyopathy；Report of a Case].
abstract: A left ventricular aneurysm (LVA) generally results from myocardial infarction, but rarely LVA can be associated with dilated cardiomyopathy (DCM). We herein report a surgical case of malignant ventricular tachycardia (VT) in a patient with LVA associated with DCM. A 57-year-old woman was diagnosed with DCM and LVA when she 1st presented with sustained VT. She had anti-arrhythmic medical therapy and implantable cardiac defibrillator. Subsequently, she presented with recurrent monomorophic VT arising from the LVA. Because anti-arrhythmic medical therapy and endocardial ablation were not effective, the patient was performed left ventricular aneurysmectomy and encircling endocardial cryoablation and could achive good arrhythmic control and clinical outcome.
authors.affiliation: Department of Cardiovascular Surgery, Saitama International Medical Center, Saitama Medical University, Hidaka, Japan.
authors.forename: Satoru
authors.initials: S
authors.lastname: Domoto
authors.forename: Masaru
authors.initials: M
authors.lastname: Kambe
authors.forename: Masahiro
authors.initials: M
authors.lastname: Ikeda
authors.forename: Mimiko
authors.initials: M
authors.lastname: Tabata
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Koike
authors.forename: Kazuhiko
authors.initials: K
authors.lastname: Uwabe
authors.forename: Atsushi
authors.initials: A
authors.lastname: Iguchi
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Niinami
mesh_terms: D002311:Cardiomyopathy, Dilated / Q000150:complications*; D003452:Cryosurgery; D005260:Female; D006322:Heart Aneurysm / Q000150:complications* / Q000601:surgery; D006801:Humans; D008875:Middle Aged; D017180:Tachycardia, Ventricular / Q000209:etiology* / Q000601:surgery*