Sierra Leone, today a country with Muslim majority (78.6%), has undergone an intense process of Christian religious conversion. Christianity was first introduced in Leone 1792. Today, 20.4 % the population is Christian, ‘Born–Again’ or protestant surpassing previous national historic denominations Catholicism, Pentecostal, Anglicans, Baptists, Jehovah Witnesses and Apostolicism, mainly minority...

What sounds like a headline of a newspaper is the title of a case report regarding cardiac surgery in a high-risk patient, namely, a patient undergoing left ventricular assist device (LVAD) implantation for heart failure treatment. The authors were courageous enough to implant a LVAD in a Jehovah witness, a Christian denomination whose members categorically refuse blood transfusions. They have ...

abstract: the preoperative and surgical management of a giant left ventricular pseudoaneurysm(lvp) associated with aortic valve replacement in a 76 year old male jehovah’s witness patient is reported. the satisfactory recovery observed in this patient demonstrates the feasibility of this complex surgical procedure even in this particular patient population.