Ebstein Anomaly

Ebstein anomaly is a congenital downward displacement of the tricuspid valve. The natural history of the patient with Ebstein anomaly depends on its severity. Adults with a mild form of Ebstein anomaly can remain asymptomatic throughout their lives.

Certification/Recertification — Ebstein Anomaly

Waiting period

No recommended time frame

You should not certify the driver until etiology is confirmed and treatment has been shown to be adequate/effective, safe, and stable.

Decision

Maximum certification — 1 year

Recommend to certify if:

The driver:

Is asymptomatic.
Has a mild tricuspid anomaly.
Has mild cardiac enlargement.
Has mild right ventricular dysfunction.

Recommend not to certify if:

The driver has a(n):

Moderate or severe anomaly.
Intracardiac lesion.
Shunt.
Symptomatic arrhythmia.
Accessory conduction pathway.

Monitoring/Testing

Annual cardiovascular re-evaluation should include echocardiography and evaluation by a cardiologist knowledgeable in adult congenital heart disease and who understands the functions and demands of commercial driving.

Follow-up

The driver should have an annual medical examination.

Congenital Heart Disease Recommendation Table (PDF) — Ebstein Anomaly