Aim To review the experience of the combined coronary artery by pass grafting (CABG) and cardiac valve operations of rheumatic heart disease (RHD). Methods There were mitral valve lesion in 8 patients,aortic valve lesion in 1, and one-coronary vessel disease in 7, two-coronary vessel disease in 2. Opertions include mitral valvo plasty in 2 patients, mitral valve replacement in 9 and aortic valve replacement in 1. The one-graft was present concomitantly in 7 patients, two-graft in 2. Results There were no hospital postoperative mortality. 9 patients were followed up from 3 to 32 months. Angina disappeared in 7 of 9 patients. Conclusions CABG and cardiac valve operation should be performed concomitantly when coronary artery diseases and cardiac valvular disease present simultaneously. To strength the myocardial protection, shortening of myocardial ischemic time are the important measures to improve the operation effects.