Hello, guys. I want to go get my Class 1 medical certificate, to see if I am medically fit, but I would like to ask you first, hoping that someone can answer me, or at least give me their opinion. The idea is that I have a bicuspid aortic valve with grade 1 regurgitation, a mitral valve with grade 0-1 regurgitation, and a tricuspid valve with grade 0-1 regurgitation. The cardiologist told me that the regurgitation from the tricuspid and mitral valves is physiological. I am from Europe, Romania, and on the EASA website it specifies as follows that applicants with bicuspid aortic valve can be declared fit, if no other cardiac or aortic anomaly is demonstrated. In my case, are those regurgitations, especially aortic valve regurgitation, considered an anomaly? I would like to clarify that I have no symptoms, and the echocardiographic report is also fine. It is very important for me, because for some time now I have started to have a passion related to this profession, and I would like to be able to practice it. If I am able, I will raise the money, because I do not have the necessary money. Thank you for any opinion!
Class 1 certificate medical for pilot with bicuspid aortic valve regurgitation 1, mitral regurgitation 0-1 and tricuspid regurgitation 0-1
- Thread starter MinioN.
- Start date
bbchien
Touchdown! Greaser!
Is your ejection fraction (on echocardiogram) okay?
It would also, help to know your approx age....
It would also, help to know your approx age....
Hello. I'll leave you with what the echocardiogram I had 2 months ago. I'm 21 right now, but I could start flight school when I'm 28-29, because then I'll have the money for flight school. Until then, I'll have to take care of my heart, so I can hope I don't need surgery. I forgot to mention above that at 5 months old I was operated on for a hemodynamically significant patent ductus arteriosus, and was hemodynamically stable after the surgery. Would this also be a problem, considering that it was hemodynamically significant? Thank you!
Weight: kg
Age: years
VS(d)=44 mm
VS(s)=30 mm
AS=37 mm
AS Area= cm²
AS Volume= 30ml; AS Vol ()=
VD=25 mm
AD=29mm
Ao ring= 20/mm
Ao asc=30 mm
ml/m
Ao sinuses= mm
Ao club= mm
V Ao desc thoracic=
Ao abdominal=mm
AP ring18 mm
AP trunk= mm
VCI= 15 mm, with complete collapse
FEVS=65 %
FS =32 %
Aria AD= 11cm²
SIV=8 mm
PP=9 mm
SPECTRAL AND COLOR DOPPLER:
MITRAL VALVE: Both supple VE=1.01 VA=0.68 E/A=1.53 , reg gr0-1
AORTIC VALVE: with two supple cusps at 9 and 4 o'clock, max vel 2.02/ min, Gmax=16 mmHg, G med=8.28 mmHg - Vmax=2.02 m/sec.V med=m/sec -VTILVOT= cm
TRICUSPID VALVE: - mild regurgitation TAPSE 24RV-AD gradient= mmllg PAPs=mmHg regurgitation mild without gradient, hypertension pulmonary improbable
PULMONARY VALVE: TAP- 1.37 ms V max AP=1.1 m/s
LV SYSTOLIC FUNCTION:
good contractions of LV and IV walls, no evidence of impaired
contractility, on transthoracic echo
EVF (visual)= 65%
EVF (Simpson biplane)
"
VD FUNCTION: Normal
TAPSE=24 mm
SIA/IVF: .intact without intracardiac shunts evidenced on transthoracic doppler echo 2\
PERICARD: free
CONCLUSIONS: Normal cardiac cavities
Bicuspid aortic valve with reg gr I
No other hemodynamically significant valvulopathies
Normal LV and RV systolic function
No intracardiac shunts
Unlikely pulmonary hypertension
Free pericardium
Last edited:
bbchien
Touchdown! Greaser!
Should be a nonissue.
Ok. I will try to go get the medical in 2 weeks. I hope I can get it. Thank you very much!