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Guidance/Advisory Criteria — Treatments

Aortic Valve Repair

Aortic valve repair is a technique for repairing the existing aortic valve and usually does not require anticoagulant therapy. Early post-operative evaluation is required to assess adequacy of repair and extent of residual aortic regurgitation.

Certification/Recertification — Post-Aortic Valve Repair

Waiting period

Minimum waiting period — 3 months

NOTE: If more than one waiting period applies (because of multiple cardiac conditions or other comorbid diseases), examine the driver for certification after the completion of the longest waiting period.

Decision

Maximum certification period — 1 year

Recommend to certify if:

The driver:

  • Meets asymptomatic aortic stenosis or aortic regurgitation qualification requirements.
  • Has clearance from a cardiovascular specialist who understands the functions and demands of commercial driving.

Recommend not to certify if:

The driver has thromboembolic complications.

Monitoring/Testing

Two-dimensional echocardiography with Doppler should be performed prior to discharge. Additional monitoring and testing should be based on aortic regurgitation severity.

Follow-up

The driver should have an annual medical examination.

Aortic Stenosis Recommendation Table (PDF) — Post-Surgical Repair
Aortic Regurgitation Recommendation Table (PDF) — Post-Surgical Repair

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