OVERVIEW A long-term complication of acute myocardial infarction (AMI) is an aneurysm of the left ventricle (LV) resulting mostly in cardiac failure, ventricular tachycardia (VT), and thromboembolic episodes. Post-infarction LV aneurysm results in LV dilatation and abnormal geometry leading to systolic and diastolic dysfunction. Sudden cardiac death often results from VT after AMI. Conventional surgeries like coronary artery bypass alone have been shown to have minimal benefits in patients with cardiac failure. In a prospective 10-year follow-up study on survival after myocardial revascularization for ischaemic cardiomyopathy, Shah et al reported that coronary artery bypass grafting (CABG) alone after ischaemic heart disease and low left ventricular fraction results in relief of angina symptoms. This particular case was quite interesting because of its unusual presentation and also the progression of symptoms with the attendant deterioration of LV function.