Guide for Aviation Medical Examiners

Decision Considerations - Aerospace Medical Dispositions
Item 36. Heart - Valvular Disease

Disease/Condition	Class	Evaluation Data	Disposition
All Other Valvular Disease	All	CHD Protocol with ECHO	Requires FAA Decision
Aortic and Mitral Insufficiency	All	CHD Protocol with ECHO	Initial Special Issuance - Requires FAA Decision Followup Special Issuance�s - See AASI Protocol
Single Valve Replacement (Tissue, Mechanical or Valvuloplasty)	1^st & 2^nd	See Cardiac Valve Replacement	Requires FAA Decision
	3^rd		Initial Special Issuance - Requires FAA Decision Followup Special Issuance�s - See AASI Protocol
Multiple Valve Replacement	All	Document history and findings, CVE Protocol, and submit any tests deemed appropriate	Requires FAA Decision