Peripheral vascular operations carry high risks for myocardial infarction. In cases with severe coronary artery disease and peripheric vascular disease, combined interventions might have positive effects on patient s recovery without increasing mortality or morbidity. A 67 years old male patient came to our outpatient clinic with rest pain complaint in the right extremity. The examinations showed that his right common iliac artery was occluded and there was severe stenosis on the left anterior descending artery and the right posterior descending coronary artery. We performed a coronary artery bypass surgery with cardiopulmonary bypass. In addition, we simultaneously performed an extra- anatomic ascending aorta-right common femoral artery bypass with a 8 mm knitted polytetrafluoroethylene graft. At length, the patient was discharged without any problems following the recovery period.