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Orthotopic heart transplantation is currently the most effective long-term therapy for patients with end-stage cardiac disease. Morbidity caused by repeated rejection episodes and vasculopathy is often manifested by arrhythmias (1). After heart transplantation, patients may develop a variety of supraventricular or ventricular arrhythmias (1, 2). We report a case of a 9-year-old male patient who underwent orthotopic heart transplantation due to dilated cardiomyopathy. Atrial tachycardia occurred 6 years after transplantation because of allograft rejection and was successfully treated using pulse steroid.

Successful Treatment of Rejection Associated Atrial Tachycardia with Pulse Steroid After Heart Transplantation