2.2.4 Cardiac surgery (open chest)
Cardiac surgery may be performed for various reasons including valve replacement, excision of atrial myxoma and correction of septal defects. In some cases this is curative of the underlying disorder and so will not affect licence status for private or commercial vehicle drivers (refer also to Table 5. In other cases, the condition may not be stabilised, and the effect on driving safety and hence on licence status needs to be individually assessed. All cardiac surgery patients should be advised regarding safety of driving in the short term as for any other post-surgery patient (e.g. taking into account the limitation of chest and shoulder movements after sternotomy).