Atherosclerosis is a systemic disorder and coronary artery disease may frequently coexist with aortoiliac occlusive disease. Between 2004-2014, three patients were admitted to our institution with coronary artery disease and Leriche syndrome. The patients underwent coronary artery bypass surgery and ascending aortobifemoral bypass simultaneously. One patient underwent additional carotid endarterectomy. The patients were followed over six months. Repeated postoperative computed tomography angiography at three months showed patent coronary and peripheral grafts and no additional lesions were present. In conclusion, simultaneous ascending aortobifemoral bypass appears to be an applicable procedure with promising short and mid-term results in patients receiving coronary revascularization.