Abstract: An implant may be affixed to a cardiac valve annulus by an apparatus that includes a catheter with a first actuatable bending section and a support structure affixed to the distal end of the catheter. Support arms extend distally beyond the support structure. In some embodiments, a shaft with a second actuatable bending section is permanently positioned between the support arms, and an inflatable balloon surrounds at least a portion of the shaft. In other embodiments, a subassembly that includes a shaft with a second actuatable bending section and an inflatable balloon is slidably mounted so that it can move from an initial position that is spaced apart from the support structure to a second position where the balloon is between the at least four support arms. In either case, actuating the second bending section when the balloon is inflated will move the support arms that support the implant.