Ischemic heart disease is accepted as the most common cause of mortality and morbidity nearly ail over the world. Gout disease is the most common condition of inflammatory arthritis among the adult population. Literature includes limited information about the treatment strategies when both the conditions coexist. In this report, we present the case report of a 63 year old maie patient with the diagnosis of Gout arthritis who underwent a coronary artery bypass grafting procedure successfully.