Aim — to evaluate immediate results and to determine indications for elective percutaneous coronary intervention (PCI) followed by heart valve surgery. Material and methods. Retrospective analysis of combined treatment of 83 patients was performed. There were 63% of men and 37% of women. Mean age was 63.2±8.2 years. Patients were divided into 3 groups depending on terms between stenting and surgery. Group of high risk patients was also identified. Results. Overall in-hospital mortality was 7.2%, in two-stage treatment group — 6.8%, in one-stage group — 12.5%, in high risk group — 2.5%. Four cases of thrombosis of stents deployed were recorded: 1 — intraoperatively, 3 — in early postoperative period. Conclusion. Surgical treatment of acquired heart diseases combined with endovascular repair of coronary artery disease may be an alternative to standard procedure, especially in high risk patients. We did not receive reliable dependency of «acute» problems with implanted stents from the time interval between stages, as well as antiplatelet and anticoagulant therapy used.