Acute Coronary Syndrome Patients Requiring Urgent Urologic Surgery: An Updated Short Case Series

Urgent urologic interventions present a difficult scenario when they occur in patients with concurrent acute coronary syndrome. In this updated short series, 3 cases were presented in which all had acute coronary syndrome as well as acute urological pathology requiring urgent attention simultaneously. Urgent urological intervention was carried out while on aspirin in all cases with uneventful recovery. Upon coronary angiography, all cases found to have multi-vessel disease requiring coronary artery by-pass graft in two cases and cardiac stenting in one case to be performed later. The patients mentioned were not adequately prepared for coronary angiography because of their associated urologic issues. Patients with acute coronary syndrome may be carefully chosen to receive immediate urologic interventions before coronary angiography or primary coronary intervention in close conjunction with cardiology.