Guide for Aviation Medical Examiners
Special Issuances
AME Assisted - All ClassesMitral and Aortic Insufficiency |
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(14 CFR) part 67.
An FAA physician provides the initial certification decision and grants the Authorization in accordance with 14 CFR § 67.401. The Authorization letter is accompanied by attachments that specify the information that treating physician(s) must provide for the re-issuance determination. If this is a first time issuance of an Authorization for the above disease/condition, and the applicant has all of the requisite medical information necessary for a determination, the AME must defer and submit all of the documentation to the AMCD or RFS for the initial determination.
Examiners may re-issue an airman medical certificate under the provisions of an Authorization, if the applicant provides the following:
- An Authorization granted by the FAA;
- A summary of the applicant’s medical condition since the last FAA medical examination, including a statement regarding any episodes of atrial fibrillation; and
- A current 2-D echocardiogram with Doppler performed within last 90 days.
- The mean gradient across the valve reaches 40 mm HG;
- New symptoms occur;
- An arrhythmia develops; or
- The treating physician or AME reports the murmur is now moderate to severe (Grade III or IV).