Mitral Valve Repair for Mitral Regurgitation

The majority of inadequate valvular repair procedures can be detected in the early perioperative period. Careful evaluation at this time includes a two-dimensional echocardiography with Doppler and, if necessary, transesophageal echocardiography.

Certification/Recertification — Post-Mitral Valve Repair for Mitral Regurgitation

Waiting period

Minimum — 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 is asymptomatic and meets the underlying mild, moderate, or severe mitral regurgitation recommendations. The driver should also have clearance from a cardiovascular specialist who understands the functions and demands of commercial driving.

Recommend not to certify if:

The driver has:

Thromboembolic complications.
Atrial fibrillation.
Pulmonary hypertension.

Monitoring/Testing

You may on a case-by-case basis obtain additional tests and/or consultation to adequately assess driver medical fitness for duty.

Follow-up

The driver should have an annual medical examination.

Mitral Regurgitation Recommendation Table (PDF) — Post-Surgical Repair