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Massive prostatic infarction following aortocoronary bypass surgery: a report of two cases
Insights
Massive prostatic infarction is a rare complication that can occur after coronary bypass surgery. This condition may be more common than previously thought in patients with prostate issues undergoing cardiac procedures.
Area of Science:
- Urology
- Cardiology
- Surgical Complications
Background:
- Prostatic infarction, while occasionally seen in urologic practice, is typically localized.
- Coronary bypass surgery is a common procedure, frequently performed on men with pre-existing prostatic hyperplasia.
Observation:
- Two patients developed massive prostatic infarction following coronary bypass surgery.
- The clinical scenario mirrors conditions previously associated with massive prostatic infarction.
Findings:
- Massive prostatic infarction is a rare but recognized complication linked to conditions similar to those in bypass surgery.
- The incidence of massive prostatic infarction may increase due to the prevalence of cardiac surgery and co-existing prostate conditions.
Implications:
- Clinicians should consider massive prostatic infarction in patients with prostatism undergoing cardiac surgery or other conditions involving hypotension and pressor agent use.
- Increased awareness can lead to earlier diagnosis and management of this rare complication.
Abstract:
We present two patients who had massive prostatic infarctions following coronary bypass surgery. Whereas small areas of prostatic infarction are commonly seen in urologic practice, massive infarction is rarely seen. Massive prostatic infarction has been observed under conditions similar to those occurring with bypass surgery, so no claim is made that the condition occurs uniquely in patients who have recently undergone bypass surgery. Since coronary bypass surgery is commonly performed and since the procedure is often done on men with prostatic hyperplasia, we can reasonably expect to see this condition more commonly that we have in the past. It is our hope that others will be alerted to this condition and look for it in patients with prostatism who undergo coronary bypass surgery, other types of cardiac surgery, and any condition where prostatism and hypotension are present and pressor agents are used in treatment.