Ventricular Control of Prosthetic Atrioventricular Valve

A method of implanting a prosthetic heart valve, the method comprising:

• loading the prosthetic heart valve into a delivery device, the prosthetic heart valve including a collapsible and expandable frame having an atrial disk, a ventricular disk, a center portion extending between the atrial disk and the ventricular disk, and a plurality of prosthetic leaflets disposed within the frame;
• advancing the delivery device to a native heart valve of a patient while the prosthetic heart valve is maintained in a collapsed condition by a valve cover of the delivery device;
• while the delivery device is positioned in or adjacent to the native heart valve, starting to deploy the prosthetic heart valve by withdrawing the valve cover so that the frame begins to self-expand;
• wherein as the frame begins to self-expand, an outflow end portion of the ventricular disk is restricted from self-expanding due to a connection between the outflow end portion of the ventricular disk and a ventricular tube positioned inside the frame, such that the ventricular disk is partially expanded after the valve cover is withdrawn;
• after the valve cover is withdrawn and the ventricular disk is partially expanded, confirming a desired position of the prosthetic heart valve relative to the native heart valve;
• and
• after confirming the desired position of the prosthetic heart valve relative to the native heart valve, releasing the connection between the outflow end portion of the ventricular disk and the ventricular tube to allow the ventricular disk to expand into engagement with the native heart valve.