[Intraoperative angioplasty and bypass for the treatment of diffuse symptomatic coronary lesions]

After a brief description of the intraoperative angioplasty technique carried out together with direct revascularization through bypass with venous segments or with internal mammary (IMA) we hereby report the immediate and mid-term results obtained in 18 patients with this treatment. The simplicity of execution, having the possibility to operate on still heart and under the direct vision of the lesion the rareness of any complication, the fact that the coronary segment is open also during all checks done after 3 years from the treatment, and finally the considerable improvement in clinical symptomatology, lead the authors to consider this therapeutical succession possible in some selected cases, for which surgical operation is necessary.