Publication Name	World Journal of Cardiology
Manuscript ID	121917
Country	Italy

Category	Cardiac & Cardiovascular Systems
Manuscript Type	Frontier
Article Title	Bioprosthetic heart valves: The last taboo - clinical evidence, ethico-legal assessments and informed consent in Muslim patients
Manuscript Source	Unsolicited Manuscript
All Author List	Mohamed Bamoshmoosh, Arraa Maddalena Saghir Afifeh, Younes El Sharkawy, Fatima Zahra Dahir, Ahmed Chebab, Humam Tarakji, Yasmin Sbai, Ahlam Ouafiq and Amr Hussein
Funding Agency and Grant Number
Corresponding Author	Mohamed Bamoshmoosh, Full Professor, MD, PhD, Principal Investigator, Department of Cardiology, University of Science and Technology, Alshaab Street, Aden 0, Yemen. m.bamoshmoosh@gmail.com
Key Words	Bioprosthetic heart valve; Bovine pericardial bioprotheses; Porcine xenograft; Muslim patient; Ethico-legal assessment; Informed consent; Darurah; Istihalah; Istihlaak
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.
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; In press

Received	2026-04-08 01:01
Peer-Review Started	2026-04-08 01:02
First Decision by Editorial Office Director	2026-04-15 08:01
Return for Revision	2026-04-15 08:01
Revised	2026-04-21 14:29
Publication Fee Transferred	2026-04-25 18:43
Second Decision by Editor	2026-05-20 02:38
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director	2026-05-20 04:30
Articles in Press	2026-05-20 04:30
Edit the Manuscript by Language Editor
Typeset the Manuscript

ISSN	1949-8462 (online)
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