Monomorphic ventricular tachycardia 25 years post surgical ablation for Wolff-Parkinson-White

The first surgical ablation of an accessory pathway for the treatment of Wolff-Parkinson-White (WPW) syndrome was performed in 1968, and surgery remained first-line therapy until the advent of catheter ablation techniques in the early 1990s. Current indications for surgical ablation of WPW syndrome are limited to ablation failures. To this day, there has been no long-term follow-up of these surgically treated patients. We describe the case of a man, aged 54 years, who developed ventricular tachycardia 25 years after surgical ablation of WPW. This is first reported case of ventricular tachycardia following an epicardial surgical cryoablation technique for WPW.