Prosthetic heart valve

A prosthetic heart valve, comprising:

• a radially expandable and compressible frame having an inflow end portion and an outflow end portion, the frame comprising a plurality of struts defining openings between them;
• a valvular structure comprising a plurality of leaflets, each leaflet comprising a main body, opposing tabs on opposite sides of the main body, a coaptation edge portion, and a cusp edge portion, each tab being paired with an adjacent tab of an adjacent leaflet to form a plurality of commissures that are fixed relative to the frame;
• and
• wherein the cusp edge portion of each leaflet is connected to the frame by a respective connecting skirt that is connected to and disposed between the frame and the cusp edge portion of the leaflet, each connecting skirt being sutured to struts of the frame along a diagonal line extending from the inflow end portion to the outflow end portion.

A prosthetic heart valve, comprising:

• a radially expandable and compressible frame having an inflow end portion and an outflow end portion, the frame comprising a plurality of struts defining openings between them;
• a valvular structure comprising a plurality of leaflets, each leaflet comprising a main body, opposing tabs on opposite sides of the main body, a coaptation edge portion, and a cusp edge portion, each tab being paired with an adjacent tab of an adjacent leaflet to form a plurality of commissures that are fixed relative to the frame;
• an outer skirt mounted on an outer surface of the frame;
• and
• a plurality of triangular shaped fabric portions mounted to the frame at locations between the adjacent cusp edge portions of adjacent leaflets of the plurality of leaflets and coupled to the adjacent cusp edge portions of the leaflets via one or more connecting skirts, each triangular shaped portion having an apex, the apices of adjacent triangular portions being spaced apart from one another circumferentially about the frame.