Simultaneous coronary artery bypass and aortic aneurysm repair is a rarely performed procedure. We describe one case of 80-years old man with unstable angina and concurrent symptomatic abdominal aortic aneurysm. The patient was indicated for simultaneous coronary artery revascularization and abdominal aortic aneurysm repair with the need of supracoeliac aortic clamping. Preoperative evaluation, perioperative monitoring, the strategy of anaesthetic and surgical approach and postoperative course are described in detail. In the discussion, we analyze the possibilities of anaesthetic and surgical technique in this procedure, the possibilities of organ preservation, assurance of adequate vital signs monitoring and perioperative analgesia.

        Key words: coronary artery bypass – abdominal aortic aneurysm – continuous cardiac output monitoring – transoesophageal echocardiography