A system for suture passage through a tissue according to embodiments of the present invention includes a suture snare, the suture snare comprising a resilient anchor element and a suture capture element, a substantially rigid passer tube, an actuator rod, a snare enclosure formed by the passer tube and actuator rod, the actuator rod movable to move the snare enclosure between a closed configuration which completely captures a portion of the suture snare and an open configuration which does not completely capture the portion of the suture snare, and a piercing tip configured to form a hole through the tissue, wherein at least one dimension of the resilient anchor element in an undeformed state is larger than a largest dimension of the hole, and the anchor element deforms during insertion of the resilient anchor element through the hole and substantially resumes its prior shape after passing through the hole.
