Bioprosthetic heart valves: The last taboo - clinical evidence, ethico-legal assessments and informed consent in Muslim patients

doi:10.4330/wjc.121917

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World Journal of Cardiology

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1949-8462

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Copyright: ©Author(s) 2026. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See permissions. Published by Baishideng Publishing Group Inc.

World J Cardiol. Jun 26, 2026; 18(6): 121917
Published online Jun 26, 2026. doi: 10.4330/wjc.121917

Table 1 Professionisti Musulmani members’ knowledge regarding Islam and bioprosthetic heart valves, n (%)

Some questions in the online questionnaire	Yes	No	Don’t know	Total
Did you know that some BHVs contain porcine material?	142 (51.4)	134 (48.6)	0 (0.0)	276 (100)
According to the Islamic religion is it permissible to transplant a PX in a Muslim patient?	45 (16.3)	56 (20.3)	175 (63.4)	276 (100)
Did you know of the existence of valid alternatives of other animal origin to the PX?	94 (34.1)	182 (65.9)	0 (0.0)	276 (100)
Did you know that bovine and equine BHVs are a valid alternative to PX?	74 (26.8)	202 (73.2)	0 (0.0)	276 (100)
According to the Islamic religion is it permissible to transplant a PX in a Muslim patient in emergency, in absence of other BHV alternative?	206 (74.6)	3 (1.1)	67 (24.3)	276 (100)

BHV: Bioprosthetic heart valve; PX: Porcine xenograft.

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Citation: 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
URL: https://www.wjgnet.com/1949-8462/full/v18/i6/121917.htm
DOI: https://dx.doi.org/10.4330/wjc.121917

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]

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