A prosthetic heart valve includes a collapsible and expandable stent having a proximal end, a distal end, an annulus section adjacent the proximal end and an aortic section adjacent the distal end. A cuff having an inner surface and an outer surface is made sufficiently rough to promote tissue growth. The prosthetic heart valve further includes a collapsible and expandable valve assembly, the valve assembly including a plurality of leaflets connected to at least one of the stent and the cuff.