 The combination of coronary artery bypass grafting CABG, repair of valve pathology andor valve replacement remains a challenging and high-risk aspect of current cardiosurgical practice. Direct and indirect results of surgery are affected by the variety of factors including patients age, general condition, preoperative severity of heart dysfunction and remodeling, etc. In addition, the results of operation may be hampered by unexpected anatomic and technical features influencing the surgical approach as well as duration of cardiopulmonary bypass CPB and aortic cross clamping, anesthesia, intensive care and respiratory support. 