Urgent Urologic Surgery in Patients with Acute Coronary Syndrome

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