Surgical progress is now allowing many subjects to lead a reasonably normal life following successful surgical treatment. Some conditions do not require surgery because of small defects only but may still pose a risk to aviation safety due to an elevated risk of symptomatic conduction defect abnormality.
Congenital heart diseases often leave subjects with functional cardiac impairment, including risk of arrhythmia, that are of aeromedical significance. Congenital heart disease may be part of a syndrome encompassing other abnormalities.
On the first occasion that an applicant presents with a history of congenital heart disease.
On subsequent occasions:
An applicant with a history of congenital heart disease should be considered as having a condition that is of aeromedical significance; unless:
An applicant with a history of closed patent ductus arteriosus may be considered as having a condition that is not of aeromedical significance if: