Concomitant thrombosis of two coronary arteries is an uncommon condition that is reported to cause sudden cardiac death. In this paper, we describe the case of a 42-year-old man who presented with simultaneous LAD and RCA occlusion causing anterior and inferior myocardial infarctions. PCI was attempted and failed, an Intra-Aortic Balloon Pump (IABP) was inserted and the patient was referred to surgery. Following surgical thrombectomy and coronary artery bypass grafting (CABG), the patient recovered with no complications.