Urgent Urologic Surgery in Patients with Acute Coronary Syndrome  

作　　者：Tariq F. Al-Shaiji Jaffar M. Hussain Majd Al-Kabbani Mostafa A. Faty Ahmed R. El-Nahas Abdullatif Al-Terki Tariq F. Al-Shaiji;Jaffar M. Hussain;Majd Al-Kabbani;Mostafa A. Faty;Ahmed R. El-Nahas;Abdullatif Al-Terki(Urology Unit, Department of Surgery, Al-Amiri Hospital, Kuwait City, Kuwait)

机构地区：[1]Urology Unit, Department of Surgery, Al-Amiri Hospital, Kuwait City, Kuwait

出　　处：《Journal of Biosciences and Medicines》2022年第1期29-32,共4页生物科学与医学（英文）

摘　　要：Urgent urologic interventions create a challenging scenario when they occur in patients suffering from concurrent acute coronary syndrome. Herewith we report two patients with this scenario. Case 1, a male patient was admitted with non-ST elevation myocardial infarction in which dual antiplatelet therapy was initiated. He developed symptomatic right obstructive uropathy. Case 2, a male patient developed non-ST elevation myocardial infarction and was commenced on dual antiplatelet therapy. Subsequently, he developed gross hematuria unresponsive to conservative measures. Urgent urological intervention was carried out while on aspirin in both cases with uneventful recovery. Upon coronary angiography, both cases were found to have multi-vessel disease requiring coronary artery by-pass graft later. Due to their concurrent urologic problems the patients described were not optimized fully to undergo coronary angiography. In close collaboration with cardiology, patients with acute coronary syndrome can be carefully selected to undergo urgent urologic interventions prior to coronary angiography/primary coronary intervention.Urgent urologic interventions create a challenging scenario when they occur in patients suffering from concurrent acute coronary syndrome. Herewith we report two patients with this scenario. Case 1, a male patient was admitted with non-ST elevation myocardial infarction in which dual antiplatelet therapy was initiated. He developed symptomatic right obstructive uropathy. Case 2, a male patient developed non-ST elevation myocardial infarction and was commenced on dual antiplatelet therapy. Subsequently, he developed gross hematuria unresponsive to conservative measures. Urgent urological intervention was carried out while on aspirin in both cases with uneventful recovery. Upon coronary angiography, both cases were found to have multi-vessel disease requiring coronary artery by-pass graft later. Due to their concurrent urologic problems the patients described were not optimized fully to undergo coronary angiography. In close collaboration with cardiology, patients with acute coronary syndrome can be carefully selected to undergo urgent urologic interventions prior to coronary angiography/primary coronary intervention.

关 键 词：Acute Coronary Syndrome Urgent Urologic Conditions Urgent Urologic Intervention 

分 类 号：R54[医药卫生—心血管疾病]