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United States Department of TransportationUnited States Department of Transportation

Guide for Aviation Medical Examiners

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

Common Conditions and Course of Action
Disease/Condition Class Evaluation Data Disposition
Aortic and Mitral Insufficiency All CHD Protocol with ECHO Initial Special Issuance – Requires FAA Decision

Followup Special Issuance's – See AASI Protocol

Mitral Valve Repair All See CACI – Mitral Valve Repair Worksheet Follow CACIMitral Valve Repair Worksheet (PDF)

Annotate Block 60

Single Valve Replacement (Tissue, Mechanical or Valvuloplasty) All See Cardiac Valve Replacement (PDF) 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
All Other Valvular Disease All CHD Protocol with ECHO Requires FAA Decision

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