A transcatheter valve delivery system, comprising: a longitudinal member extending between a proximal end and a distal end, the longitudinal member having a compartment adjacent the distal end for holding a heart valve in a collapsed condition; and at least one alignment element (610, 642) connected to the longitudinal member, the alignment element being movable relative to the longitudinal member between a stowed position, and a deployed position, wherein in the deployed position, the alignment element is configured to urge against an anatomical surface to position the longitudinal member at a desired location relative to the anatomical surface, and wherein the longitudinal member includes: an outer tube; and an inner shaft extending through the outer tube, and wherein the alignment element includes: a generally tubular element (610, 642) having a first end and a second end, the first end being operatively secured to the outer tube and the second end being secured to the inner shaft such that the generally tubular element substantially surrounds the inner shaft, whereby a first longitudinal movement of the outer tube relative to the inner shaft longitudinally collapses the alignment element and a second longitudinal movement of the outer tube relative to the inner shaft longitudinally expands the alignment element. a longitudinal member extending between a proximal end and a distal end, the longitudinal member having a compartment adjacent the distal end for holding a heart valve in a collapsed condition; and at least one alignment element (610, 642) connected to the longitudinal member, the alignment element being movable relative to the longitudinal member between a stowed position, and a deployed position, wherein in the deployed position, the alignment element is configured to urge against an anatomical surface to position the longitudinal member at a desired location relative to the anatomical surface, and wherein the longitudinal member includes: an outer tube; and an inner shaft extending through the outer tube, and wherein the alignment element includes: a generally tubular element (610, 642) having a first end and a second end, the first end being operatively secured to the outer tube and the second end being secured to the inner shaft such that the generally tubular element substantially surrounds the inner shaft, whereby a first longitudinal movement of the outer tube relative to the inner shaft longitudinally collapses the alignment element and a second longitudinal movement of the outer tube relative to the inner shaft longitudinally expands the alignment element. an outer tube; and an inner shaft extending through the outer tube, and wherein the alignment element includes: a generally tubular element (610, 642) having a first end and a second end, the first end being operatively secured to the outer tube and the second end being secured to the inner shaft such that the generally tubular element substantially surrounds the inner shaft, whereby a first longitudinal movement of the outer tube relative to the inner shaft longitudinally collapses the alignment element and a second longitudinal movement of the outer tube relative to the inner shaft longitudinally expands the alignment element.