The study presents a case of a 66-year old male patient with coronary heart disease and a history of inferior wall myocardial infarction. During hospitalization the patient suddenly demonstrated symptoms of obstructive jaundice. The increasing intensity of these symptoms augmented the pre-existent coronary insufficiency, which was classified as stage 3 on the CCS scale. We encountered some circumstances, which rendered use of minimally invasive procedures impossible. Therefore, the patient was treated with combined therapy involving coronary artery bypass grafting on a beating heart, and evacuation of biliary stones followed by drainage of the biliary tract with the use of the T-drain (Kehr's method).