Robotic atrial septal defect closure with valved pericardial patch in a pulmonary hypertensive patient

Atrial septal defect (ASD) is the most common congenital anomaly in adults after bicuspid aortic valve. Atrial septal defect closure should be carefully considered in the setting of elevated pulmonary artery systolic pressure. Patients with borderline pulmonary vascular resistance may be candidates for closure with careful hemodynamic evaluation, even after pulmonary hypertension therapy. Herein, we present the surgical closure of the ASD with a valved pericardial patch after medical therapy for pulmonary hypertension via the da Vinci robotic system in a 30-year-old female patient.