Replacement heart valve system

A replacement heart valve system comprising:

• a replacement heart valve implant comprising:
• an expandable framework configured to shift from a radially collapsed configuration to a radially expanded configuration, wherein the expandable framework is self-biased toward the radially expanded configuration and the expandable framework includes an anchoring portion extending from an inflow end to an outflow end, and a plurality of stabilization arches extending downstream from the outflow end;
• and
• a plurality of valve leaflets attached to the expandable framework;
• and
• an implant delivery system comprising a handle and an elongate shaft assembly, the elongate shaft assembly comprising a tubular member fixedly attached to the handle, and a distally-positioned implant holding portion configured to constrain the expandable framework in the radially collapsed configuration;
• wherein the elongate shaft assembly further comprises an expandable balloon disposed on the tubular member within the implant holding portion and positioned within the constrained expandable framework, the expandable balloon including a proximal tapered portion, a distal tapered portion, and a body portion extending from the proximal tapered portion to the distal tapered portion, and wherein the expandable balloon is configured to shift between a deflated configuration and an inflated configuration;
• wherein upon release from the implant holding portion, the expandable framework is configured to shift toward the radially expanded configuration and the inflow end is offset distally from the distal tapered portion of the expandable balloon in the deflated configuration and before shifting to the inflated configuration.