Abstract
Objective: Analyze the heart transplant procedure in the treatment of chagasic myocardiopathy taking into consideration the diagnosis, indication, procedure, complications and particularities that approach this subject, to better understand this technique. Bibliographic review: Chagas Disease is caused by the flagella protozoan Trypanosoma Cruzi, representing the third most prevalent parasitic infection in the world. The reports of CD reactivation are common findings in immunosuppressive conditions such as AIDS, autoimmune diseases, cancer (and the chemotherapy used to treat it) and, of course, pharmacological immunosuppression to prevent transplant rejection. Among the peri-operative complications destructive life habits, such as smoking and alcoholism, which promote the aggravation of cardiovascular problems, are highlighted. Post-operative complications include neoplasms such as lymphoma Kaposi’s sarcoma and the possibility of T. Cruzi reactivation due to induced immunosuppression which begins after surgery in order to avoid acute graft rejection. Final considerations: Finally, the importance of a holistic knowledge regarding the particularities of the chagasic disease, such as the risk of re-infection in immunosuppressed patients, is highlighted in order to reduce the chances of postoperative complications.