an implant for supplementing , repairing , or replacing a native heart valve leaflet or leaflets provides a scaffold , which defines a pseudo - annulus . the implant further has at least two struts in generally oppositely spaced apart positions on the scaffold . the scaffold can be placed in an elastically loaded condition in a heart with the struts engaging tissue at or near the leaflet commissures of a heart valve annulus , to reshape the annulus for leaflet coaptation . the implant further provides a neoleaflet element coupled to the scaffold within pseudo - annulus , to provide a one - way valve function .