Abstract: A method includes positioning an anchor deployment manipulator at least partially within a lumen of a sleeve of an annuloplasty ring, the sleeve having a lateral wall shaped to define the lumen, and the lumen extending longitudinally along a length of the sleeve. A portion of the sleeve that contains a distal end of the deployment manipulator is placed into an atrium in a vicinity of an annulus of an atrioventricular valve. An anchor is deployed from the distal end of the deployment manipulator through the lateral wall of the sleeve into cardiac tissue, while the distal end of the deployment manipulator is positioned such that a central longitudinal axis of the deployment manipulator through the distal end of the deployment manipulator forms an angle of between 45 and 90 degrees with the lateral wall of the sleeve at a point at which the anchor penetrates the lateral wall.

Abstract: A method for repairing an aortic valve of a heart of a patient is provided, the method comprising (1) placing around a portion of an aorta of the patient in a vicinity of the aortic valve, an adjustable implant structure comprising an adjusting mechanism coupled to a first portion of a flexible contraction member; and (2) adjusting a dimension of the aortic valve by adjusting a dimension of the implant structure by rotating a rotatable structure of the adjusting mechanism. Other embodiments are also described.

Abstract: Apparatus is provided, comprising (1) an annuloplasty structure, shaped to define a perimeter, and configured to be disposed at the annulus of the native valve of the patient; (2) a first adjusting mechanism, coupled to the annuloplasty structure, and configured to adjust the perimeter; (3) at least one longitudinal flexible member, having a first end portion, and a second end portion that is configured to be coupled to tissue of the ventricle of the heart of the patient; and (4) at least a second adjusting mechanism, coupled to the annuloplasty structure such that the second adjusting mechanism is slidable around at least part of the perimeter, coupled to the first end portion of the longitudinal flexible member, and configured to adjust a distance between the second adjusting mechanism and the second end portion of the longitudinal flexible member. Other embodiments are also described.

Abstract: Apparatus is provided, comprising (1) a guide member, (2) a tissue-adjustment mechanism having (a) an upper surface and a lower surface, (b) at least one first opening at the upper surface, (c) at least one second opening at the lower surface, and (4) a channel extending between the first and second openings, the channel facilitating advancement of the tissue-adjustment mechanism along the guide member; and (3) at least one repair chord coupled at a first portion thereof to the tissue-adjustment mechanism and having at least a first end that is configured to be coupled to a portion of tissue of a patient, the repair chord being configured to adjust a distance between the portion of tissue and the tissue-adjustment mechanism, in response to adjustment of the repair chord by the tissue-adjustment mechanism. Other embodiments are also described.