Method for aortic repair and aortic replacement

A method of implanting a transcatheter aortic valve assembly, comprising:

• endovascularly positioning a guide wire through the aortic valve of a patient;
• endovascularly positioning the transcatheter aortic valve assembly through the aortic valve of the patient, wherein the transcatheter aortic valve assembly has a radially compressed orientation and a radially expanded orientation,
• wherein the transcatheter aortic valve assembly includes an outer frame, wherein the outer frame is formed from a metallic material and defines an open cell configuration,
• wherein the transcatheter aortic valve assembly includes an inner frame that engages a prosthetic heart valve having prosthetic leaflets, wherein the inner frame includes a cylindrically extending graft covering extending at least partially radially outwardly of the prosthetic heart valve and radially inwardly of the outer frame for providing sealing to the prosthetic heart valve,
• wherein the outer frame is secured to the graft covering by stitching at a proximal end of the graft covering and at a proximal end of the outer frame,
• wherein the transcatheter aortic valve assembly includes a fibrous network positioned at least partially radially outwardly of the outer frame,
• wherein the transcatheter aortic valve is positioned so that the fibrous network of the transcatheter aortic valve assembly is in overlapping radial alignment with native valve leaflets of the patient;
• inflating a balloon assembly to expand the transcatheter aortic valve assembly from the radially compressed orientation into the radially expanded orientation,
• wherein the fibrous network seals against the native valve leaflets of the patient, the outer frame, and the graft covering in response to compression from inflation of the balloon assembly,
• wherein the fibrous network extends over at least two circumferentially extending rows of grids formed in the open cell configuration.