Bamoshmoosh M, Saghir Afifeh AM, El Sharkawy Y, Dahir FZ, Chebab A, Tarakji H, Sbai Y, Ouafiq A, Hussein A. Bioprosthetic heart valves: The last taboo - clinical evidence, ethico-legal assessments and informed consent in Muslim patients. World J Cardiol 2026; 18(6): 121917 [DOI: 10.4330/wjc.121917]
Corresponding Author of This Article
Mohamed Bamoshmoosh, MD, PhD, Full Professor, Principal Investigator, Department of Sociology, Italian Institute for Islamic and Humanistic Studies - BAYAN, Via Federico Garofoli 244, San Giovanni Lupatoto 37057, Veneto, Italy. bamoshmoosh@hotmail.it
Research Domain of This Article
Cardiac & Cardiovascular Systems
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editorial
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Bamoshmoosh M, Saghir Afifeh AM, El Sharkawy Y, Dahir FZ, Chebab A, Tarakji H, Sbai Y, Ouafiq A, Hussein A. Bioprosthetic heart valves: The last taboo - clinical evidence, ethico-legal assessments and informed consent in Muslim patients. World J Cardiol 2026; 18(6): 121917 [DOI: 10.4330/wjc.121917]
World J Cardiol. Jun 26, 2026; 18(6): 121917 Published online Jun 26, 2026. doi: 10.4330/wjc.121917
Bioprosthetic heart valves: The last taboo - clinical evidence, ethico-legal assessments and informed consent in Muslim patients
Mohamed Bamoshmoosh, Arraa Maddalena Saghir Afifeh, Younes El Sharkawy, Fatima Zahra Dahir, Ahmed Chebab, Humam Tarakji, Yasmin Sbai, Ahlam Ouafiq, Amr Hussein
Mohamed Bamoshmoosh, Department of Cardiology, University of Science and Technology, Aden 0, Yemen
Mohamed Bamoshmoosh, Department of Sociology, Italian Institute for Islamic and Humanistic Studies - BAYAN, San Giovanni Lupatoto 37057, Veneto, Italy
Arraa Maddalena Saghir Afifeh, Younes El Sharkawy, Fatima Zahra Dahir, Ahmed Chebab, Humam Tarakji, Yasmin Sbai, Ahlam Ouafiq, Amr Hussein, Promus APS - Professionisti Musulmani, Milano 20132, Lombardy, Italy
Author contributions: Bamoshmoosh M conceived the design of the study, wrote the first draft and analyzed the data; Saghir Afifeh AM, El Sharkawy Y, Dahir FZ, Chebab A, Tarakji H, Sbai Y, Ouafiq A, and Hussein A collected the data, made critical revisions related to important intellectual content of the manuscript and provided the final approval of the version of the article to be published.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Corresponding author: Mohamed Bamoshmoosh, MD, PhD, Full Professor, Principal Investigator, Department of Sociology, Italian Institute for Islamic and Humanistic Studies - BAYAN, Via Federico Garofoli 244, San Giovanni Lupatoto 37057, Veneto, Italy. bamoshmoosh@hotmail.it
Received: April 8, 2026 Revised: April 21, 2026 Accepted: May 20, 2026 Published online: June 26, 2026 Processing time: 75 Days and 14.6 Hours
Core Tip
Core Tip: There is no definitive evidence that bovine pericardium protheses (BPP) are inferior to porcine xenografts (PX) in terms of durability. Among Muslims, there is little information on the presence of porcine derivatives in bioprosthetic heart valves (BHVs). Muslim patients may prefer BPP rather than PX, except for Darurah and Istihalah conditions. Unfortunately, the quality of biological material in BHVs is only known by bio-manufacturers. To comply with the 2025 European Society of Cardiology/European Association for Cardio-Thoracic Surgery guidelines for the management of valvular heart disease, we believe that the heart team could benefit from the advice of qualified Islamic religious leaders in delivering to Muslim patients a comprehensive scenario of BHV utilization.
