Take a look at the enum:
enum TestEnum
{
First = 1,
Second = 2,
Unknown = 3,
TestTestTest = 100,
Zero = 0,
Foo = 123,
}
The Align.vim plugin is probably the way to go, but if you wish to have it handy on a standard installation, you could always filter through awk to get some generic functionality with not too much work.
For TestEnum you would do something like
'<,'>!awk '{printf "^I\%-20s\%-20s\%-20s\n", $1, $2, $3}'
after visually selecting the braced contents (viB is awesome here.)
For Foo you would do
'<,'>!awk '{printf "^I\%-20s\%-20s\n", $1, $2}'
You could probably make it variable width with an awk for-loop but at the cost of the easy and fast to type version here.
If you have the unix utility col handy, you might simply try
'<,'>!col -x
But here your mileage will really vary, as this is not the intended use of the utility.