Traumatic Atrial Septal Defect Repair via Primary Endovascular Suture Method: Case Report and Operative Technique.

Sandor Toledo MD, Lehigh Valley Health Network
Christopher Wang, Lehigh Valley Health Network
Megan Satyadi, Lehigh Valley Health Network
Papus Keita, Carle Foundation Hospital
Anthony Nobles, West Sachsen University
Timothy S. Misselbeck MD, Lehigh Valley Health Network
Bryan W. Kluck DO, Lehigh Valley Health Network

Abstract

We report a case of a 20-year-old male with no prior medical history who was found to have an atrial septal defect on echocardiography following a motor vehicle accident (MVA). The patient underwent primary percutaneous defect closure using the NobleStitch EL (Heartstitch, Fountain Valley, California) cardiovascular suturing system with intra-operative Doppler echocardiogram showing no residual shunt or color flow. There were no operative complications. At five months follow-up, the patient reported no symptoms from the procedure. In the case of traumatic atrial septal defect repair, the NobleStitch EL system may be utilized as an alternative to open heart surgery.