A holder for a flexible leaflet prosthetic aortic heart valve that is less
bulky than earlier holders and minimizes obstructions to vision and
working space around the valve to facilitate implantation thereof. The
holder may have a central hub and three outwardly extending legs that
connect directly and exclusively to tips of the commissures of the aortic
heart valve for better tactile feedback when parachuting and seating the
valve in the annulus. The legs are sized so that they do not overlap the
commissure tips and therefore afford a better view of the sewing ring
adjacent the commissures. The legs may be narrow in the midsection or
split into two rails to increase visibility of the valve leaflets. The
hub may be vaulted axially upward relative to the outer ends of the legs
to further increase visibility of the valve. A more secure engagement
between the central hub and a delivery handle is also provided to ensure
the holder/handle connection does not become loose during suture
placement through the sewing ring and fewer handle revolutions are
required to screw in and unscrew the handle from the holder.