A sling with multiple openings may be installed in a mitral valve annulus. Within each opening, individual valves may be placed. The sling and valves may be delivered via catheter, and in some cases, the catheter size may be 18 French or smaller. The sling may have a cuff that may block otherwise open areas of the opening. The sling may be installed using commissural attachments that engage a mitral valve near the commissural point. The sling, valves, and cuff may be installed without stopping the heart, and because multiple valves are used, much smaller valves can be used, thereby reducing the catheter size.
