A 35 year old man with arrhythmogenic right ventricular dysplasia received an implantable cardioverter-defibrillator (ICD) for ventricular fibrillation (VF). In the next 2 years he experienced several “storms” of VF requiring numerous shocks, despite β blockade and amiodarone. As VF was precipitated by ventricular ectopy, radiofrequency ablation was considered but unfortunately not performed as monitoring revealed long periods of arrhythmia quiescence, even with cessation of anti-arrhythmic therapy and drug provocation. Surgical right ventricular disconnection was therefore performed, …