Following a long moratorium, the FAA is once again considering for special issuance applicants who have had a cardiac transplant. In the early 1990's, the FAA withdrew the small number of existing heart transplant authorizations because of evidence of post-operative coronary artery disease that was not detectable with conventional diagnostic tests.
Following a lengthy review of transplant literature, the FAA has determined that risks can be effectively managed under strict special issuance guidelines.
For special issuance consideration following heart replacement surgery, the FAA will require:
You should have all records available when you see the aviation medical examiner for an FAA physical exam. The Examiner must defer the application to the FAA for a decision. Consideration will be for Third-class applicants only. The FAA Cardiology Consultant Panel will review all cases. Subsequent recertification will be based on annual follow-up evaluation. All information should be forwarded by express mail to the FAA in Oklahoma City.
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