SYNTAX from the evidence to the disobedience.

1. Titular professor of cardiovascular surgery, São Paulo Medical School, Federal University of São Paulo, Brazil. 2. Head of the cardiac surgery at Hospital Modelo. A Coruña. España. The results between coronary artery bypass grafting and myocardial coronary angioplasty has been the subject of controversy since the year 1979, when percutaneous technique was intriduced by Andreas Grüntzig [1]. Since then, numerous randomized and multicenter studies were performed including: ERACI, EAST, GABI, CABRI, MASS, BARI, SIMA, LAUSANNE, RITA, TOULOUSE [2]. All studies have shown superiority of surgical revascularization versus percutaneous treatment, which consisted of substrate for abandoning balloon angioplasty and the emergence of a new era with stents. In this second phase, the results of angioplasty and stenting procedures are again compared, new studies were undertaken including: AWESOME, ARTS, SOS, ERACI, MASS, among others. Overall, the results in the first year were similar in both groups, but in 5 years, the reoperations in the stent group were higher due to multiple restenosis, which reaffirmed the surgical revascularization was the best option for this group of patients.