Two patients with congenital anomalies of the coronary arteries were operated. One them had aneurysm of the Valsalva sinus and anomalous drainage of the right coronary into the right ventricle with 60 per cent arterio-venous shunt. The second had angiodysplastic-type anomaly of the left coronary artery. Both patients were operated on functioning heart, using II-shaped sutures through teflone appliances. However rare, congenital anomalies of the coronary arteries raise diagnostic difficulties. Exact diagnosis is feasible only after coronarography which determines also the type of operative intervention. The operation should preferably be made under bypass circulation.