A 66-year-old man was referred to our institution with recurrent angina pectoris caused by 95% stenosis of the left anterior descending coronary artery. Twelve years earlier, he had undergone esophagoplasty with substernal colon interposition for an esophageal burn caused by a caustic substance. A left thoracotomy approach and femoro-femoral bypass were used safely for coronary artery revascularization.