Aim — to analyze the results of synchronous myocardial revascularization and carotid endarterectomy (CEA). Material and methods. For the period from January 2010 to April 2017 synchronous myocardial revascularization and carotid endarterectomy was performed in 67 patients (56 men and 11 women) aged 64.5±9.5 years (range 49—80). All patients had three-vessel coronary disease and angina NYHA functional class III—IV. Carotid repair was indicated for internal carotid artery (ICA) stenosis over 70% or less severe lesion (50—69%) with unstable embologenic plaque. Mean ICA cross-clamping time was 25.3±6.4 min, intraluminal shunt was used in 7 cases. In all patients we used operating microscope and microsurgical technique for coronary bypass grafting. Mean CPD and aortic cross-clamping time was 93.5±33.5 and 59.2±24.5 min respectively. Results. In-hospital mortality was 1.5% (1 patient died from acute heart failure). In other cases perioperative myocardial infarction and recurrent angina were absent. Non-fatal ischemic stroke ipsilateral to CEA occurred in 1 (1.5%) patient after 2 days that was followed by prolonged hospitalization. Postoperative cranial nerves paresis was revealed in 4 (6%) patients. Overall incidence of adverse events (death + stroke + myocardial infarction) was 3% (1.5+1.5+0%). Conclusion. Synchronous coronary and carotid repair is an effective method if staged approach is difficult due to severe lesion of both vascular pools.