Tehran University of Medical Sciences The Research in Heart Yield and Translational Medicine (RHYTHM) 3115-7270 5 4 2010 10 15 205 208 Alireza Heydari Ghaem University Hospital, Mashhad University of Medical Sciences, Mashhad, Iran. Asadollah Mirzaie Ghaem University Hospital, Mashhad University of Medical Sciences, Mashhad, Iran. Mohammad Tayyebi Ghaem University Hospital, Mashhad University of Medical Sciences, Mashhad, Iran. 2015 10 03 There are many treatment modalities available to acutely terminate incessant ventricular tachycardia with variable success rates, but some cases tend to prove refractory to all of them. We report a 59-year-old woman presenting with incessant ventricular tachycardia. Echocardiography revealed a large true apical aneurysm and severe left ventricular dysfunction. The arrhythmia was controlled in the operating room after off-pump coronary artery bypass surgery and plication of the apical aneurysm. https://rhythm.tums.ac.ir/index.php/jthc/article/view/190 https://rhythm.tums.ac.ir/index.php/jthc/article/download/190/188