| CPC A61F 2/2418 (2013.01) [A61F 2220/0075 (2013.01); A61F 2230/0019 (2013.01)] | 9 Claims |

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1. A prosthetic heart valve, comprising:
a stent extending from an inflow end to an outflow end, the stent having a commissure attachment feature between the inflow end and the outflow end, the commissure attachment feature having a frame defining an outer perimeter that includes a first side portion, a second side portion, an upper portion and a lower portion, the first side portion, the second side portion, the upper portion and the lower portion collectively defining a single central opening;
a skirt coupled to the frame of the commissure attachment feature along only the upper portion and the lower portion of the outer perimeter of the single central opening via a first set of sutures; and
at least two leaflets coupled to the skirt, wherein each leaflet is coupled to the skirt both through the central opening of the commissure attachment feature via a second set of sutures and outside of the commissure attachment feature.
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