An outer skirt for a
prosthetic heart valve is disclosed. As one example, a
prosthetic heart valve may include an annular frame and an outer skirt disposed about an outer surface of the frame. The outer skirt may include: a first portion comprising a polymeric material; and a second portion comprising a fabric wherein the
polymer material has a greater
antithrombotic property than the fabric. The second portion is fixed to an inflow end of the frame and extends toward a middle portion of the frame, and the first portion extends from the second portion and toward an outflow end of the frame.