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Surgical treatment of patients with combined atherosclerotic lesion of coronary arteries and lower limbs arteries is always a difficult problem. The authors describe surgical strategy of simultaneous coronary artery bypass grafting and extra-anatomic aorticfemoral bypass in patient with severe coronary artery disease and abdominal aortic occlusion followed by critical limb ischemia.

<p>The successful surgical treatment of infectious endocarditis with abscess of the aortic root in a patient with HIV infection and immunodeficiency is presented in this clinical case study. The paper discusses the tactical aspects of the technique of surgical intervention and management features associated with the presence of HIV infection. <br />In patients with HIV-related immunosuppression, similar to other patients with infectious aortic valve endocarditis with aortic root destruction, the method of choice is an early surgical treatment with radical debridement and subsequent reconstruction of the aortic root. <br />The type of reconstruction depends on the degree of destruction. Choice of valves does not significantly impact survival, freedom from recurrence of endocarditis or reoperation due to reinfection. Preventive implantation of epicardial electrodes with a formed or complete atrioventricular block is not advisable due to the high risk of secondary infection of the endocardial electrodes and persistence of sepsis.</p><p>Received 30 April 2020. Revised 13 July 2020. Accepted 28 July 2020.</p><p><strong>Conflict of interest:</strong> Authors declare no conflicts of interest.</p><p><strong>Funding:</strong> The study did not have sponsorship.</p>

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