Replacement heart valve implant

A heart valve, comprising:

• an expandable framework having an inflow end, an outflow end, and a medial region positioned between the inflow end and the outflow end;
• a plurality of valve leaflets attached to the medial region of the expandable framework, each of the plurality of valve leaflets including a root edge;
• and
• an outer skirt disposed along an outer surface of the expandable framework, the outer skirt including a proximal edge and a distal edge;
• wherein the outer skirt is configured to shift between an unexpanded configuration and an expanded configuration;
• wherein the root edge of each of the plurality of valve leaflets is attached to the proximal edge of the outer skirt.

A method for delivering a heart valve implant at a target site, the method comprising:

• advancing a heart valve implant to a target site adjacent the heart, the heart valve implant including:
• an expandable framework configured to shift from a closed configuration to an expanded configuration, the expandable framework having an inflow end, an outflow end and a lumen extending therein;
• a plurality of valve leaflets coupled to the expandable framework, each of the plurality of valve leaflets including a root edge and a free edge;
• and
• an outer skirt coupled to the plurality of valve leaflets, the outer skirt including a proximal edge;
• wherein the root edge of each of the plurality of valve leaflets is attached to the proximal edge of the outer skirt;
• and
• deploying the implantable heart valve at the target site.