The primary vascular diagnosis was abdominal aortic aneurysm (AAA) in combination with cerebrovascular and peripheral vascular disease in 105 patients (mean age, 67 years), cerebrovascular disease (CVD) in 677 (mean age, 64 years), and lower extremity ischemia (ASO) in 693 (mean age, 61 years), and combination of cerebrovascular and periferial vascular disease in 365 patients (mean age 60 years). All 1840 patients had severe correctable CAD In patients with cerebrovascular, peripheral and combination with coronary artery disease, bypass surgery was performed after resolving of primary vascular disease. In group of patients with AAA, it was operated after resolving a vascular disease, and ate the end abdominal aneurysm was replaces with a graft. The overall operative mortality for 1840 operated patients with cardiac and peripheral vascular procedures was 1.2% (22 pat). Like a postoperative complications stroke incidence was 2.5% (46 pts). Postoperative hospital stay was 5.5 days.