A system for repairing a heart valve, comprising: an outer shaft ; and an implant (102, 402, 502, 502', 502") disposed within the outer shaft , the implant (102, 402, 502, 502', 502") including: an inner shaft comprising at least a distal portion , at least a middle portion and a proximal portion that are configured to slidably and fixedly mate with each other, a prosthetic valve coupled to a distal end of the inner shaft and having a prosthetic valve body and at least one positioning member , the prosthetic valve being configured to be distally advanced from the outer shaft such that the prosthetic valve moves from an unexpanded configuration, and the at least one positioning member being configured to suspend the prosthetic valve within an opening in tissue, and an anchor portion (110, 410, 510, 510', 510") coupled to a proximal end of the inner shaft and configured to be removably affixed to tissue; wherein a distance between the prosthetic valve and the anchor portion (110, 410, 510, 510', 510") is adjustable by at least one of sliding the distal portion of the inner shaft such that a portion thereof is received within the middle portion of the inner shaft and sliding the middle portion such that a portion thereof is received within the proximal portion of the inner shaft. an outer shaft ; and an implant (102, 402, 502, 502', 502") disposed within the outer shaft , the implant (102, 402, 502, 502', 502") including: an inner shaft comprising at least a distal portion , at least a middle portion and a proximal portion that are configured to slidably and fixedly mate with each other, a prosthetic valve coupled to a distal end of the inner shaft and having a prosthetic valve body and at least one positioning member , the prosthetic valve being configured to be distally advanced from the outer shaft such that the prosthetic valve moves from an unexpanded configuration, and the at least one positioning member being configured to suspend the prosthetic valve within an opening in tissue, and an anchor portion (110, 410, 510, 510', 510") coupled to a proximal end of the inner shaft and configured to be removably affixed to tissue; an inner shaft comprising at least a distal portion , at least a middle portion and a proximal portion that are configured to slidably and fixedly mate with each other, a prosthetic valve coupled to a distal end of the inner shaft and having a prosthetic valve body and at least one positioning member , the prosthetic valve being configured to be distally advanced from the outer shaft such that the prosthetic valve moves from an unexpanded configuration, and the at least one positioning member being configured to suspend the prosthetic valve within an opening in tissue, and an anchor portion (110, 410, 510, 510', 510") coupled to a proximal end of the inner shaft and configured to be removably affixed to tissue; wherein a distance between the prosthetic valve and the anchor portion (110, 410, 510, 510', 510") is adjustable by at least one of sliding the distal portion of the inner shaft such that a portion thereof is received within the middle portion of the inner shaft and sliding the middle portion such that a portion thereof is received within the proximal portion of the inner shaft. <EOS>