Aims: Patients diagnosed with coronary artery disease requiring revascularization may also have valvular heart disease. Co-presentation with both and valve coronary diseases is growing as the age rises, the aim of this study is to evaluate the clinical outcome of patients underwent coronary artery bypass grafting combined with valve surgery.

Methods: This is a retrospective case series study including patients who had operated on between January 2013 - January 2015 in the surgical department of the Iraqi center for heart diseases using the traditional on-pump technique.

Results: The study included 55 patients; average age was 62 years, 20 cases (36%) were male, the average period of intensive care unit stay was 72 hours for those patients with uneventful post-operative period. The following morbidities complications were recorded: infection 2 (3.6%), arrhythmias 6, (11%), myocardial ischemia 1(1.8%), renal impairment 2(3.6%), cerebro-vascular accident 1(1.8%) and bleeding 1 (1.8%). In hospital mortality was 8 patients (14.5%).

Conclusion: When indicated, single session, combined coronary artery bypass grafting (CABG) and valve surgery is relatively safe with acceptable early outcome and complications. Arrhythmia and pneumonia are the two most common early adverse outcomes.

Keywords: Clinical outcome, Combined valve surgery, Coronary artery bypass grafting