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A 58‐year‐old man with dilated cardiomyopathy was admitted with heart failure. He had a history of two catheter ablation procedures for ventricular tachycardia ( VT ) originating from the intraventricular septum ( IVS ). Before dual valve replacement ( DVR ), he suffered a  VT  storm. An electrophysiological study revealed an extended low‐voltage area at the  IVS  with the exit of the induced  VT  at the anterior side. Radiofrequency application was performed at the  VT  exit as a landmark for surgical cryoablation ( SA ). During the  DVR ,  SA  was performed at the  IVS  using this landmark. After  SA , the patient had no ventricular tachyarrhythmia.

journal of arrhythmia

Ventricular tachycardia storm originating from interventricular septum successfully treated with surgical cryoablation with electroanatomic and electrophysiological mapping before dual valve replacement