from november 30, 1991 to august 31, 2000, 80 cardiac transplants have been analyzed retrospectively at instituto dante pazzanese de cardiologia. seventy percent of the recipient were male, and the recipient average was 44.8 years(range: 7 to 69 years). twelve patients(15%) were considered priority, receiving inotropic drug support at the moment of transplantation. the diagnosis of the recipients included primary dilated cardiomiopathy (37.5%), ischemic cardiomiopathy (33.75%), cardiomiopathy by chagas disease (17.5% ) and others (11.25%). seventy eight transplants were orthotopic, and two heterotopic. surgical technique used was bicaval/bipulmonar (63.75%), atrial (27.5%), bicaval/unipulmonar (6.25%) and heterotopic (2.5%). the 30 day mortality for all patients was 18.75%. the survival after orthotopic transplant in one year was of 72.7%; in five years was 61.5%, and in seven years was of 56.4%. the survival after transplant was related to the following variables: age, cause of death and sex of the donor, and wheter the transplant was or not the patient's first cardiac surgery .