Echocardiographic Identification of Iatrogenic Injury of the Circumflex Artery During Minimally Invasive Mitral Valve Repair

The early recognition of iatrogenic injury of the circumflex artery is feasible with intraoperative transesophageal echocardiography examination, and may lead to treatment before extensive myocardial infarction occurs. We suggest that visualization of the circumflex artery with our technique should be performed more frequently in patients undergoing MV surgery.