Intraoperative detection of a right atrial mass during holmium: YAG laser lithotripsy: A fatal and rare complication: A case report

This case highlights the importance of preoperative and intraoperative cardiovascular monitoring in urologic patients, particularly those at risk for infection-related hypercoagulability. Bedside transthoracic echocardiography facilitates the early detection of newly developed or evolving acute intracardiac events, and in future cases, pulsed-wave tissue Doppler imaging may be considered to further assess thrombus mobility and embolic risk. For future high-risk patients, preoperative evaluation, including thromboelastography or other laboratory tests, and timely or prophylactic antibiotic administration may help identify occult hypercoagulability and reduce infection-related thrombotic risk. Postoperatively, low-dose heparin can be cautiously considered under close laboratory supervision to manage thrombotic risk.