The appeal is remanded for further development, including a VA examination by an endocrinologist and cardiologist.
The deciding factor: There is no medical complexity or controversy in this case requiring an opinion from an IME at present, but the Veteran has never had a VA examination in these respects. The Board finds that an examination is necessary to determine the etiology of the claimed conditions.
- Claimed conditions
- acromegaly, valvular heart disease, warts and skin tags
- How they argued it
- Direct service connection
- Exposure basis
- None
- Rating assigned
- None in this decision
- Decision date
- March 23, 2009
- Citation
- 0910724
Veterans Law Judge
Decisions by this judge: 1,514 · Granted: 19% (granted or partly granted, in the vetted decisions on this site)
Judge attribution: 2025 complete; earlier years partial.
This is a plain-language summary generated by AI from a public Board of Veterans’ Appeals decision. It can contain errors — always verify against the original. Look up the original decision on VA.gov (opens in a new tab) using citation 0910724.
What this means for you
A remand is not a loss. The Board sent the case back for more development — often a new exam or missing records — before making a final decision. Many remands later end in a grant, and the decision spells out exactly what the Board wanted to see.
What you can do next
Related decisions
Other Board decisions on a similar condition or argued the same way.
- Denied
The Veteran's claims for increased ratings for valvular heart disease, peripheral vascular disease of the right and left legs, and hypertension were denied. The Board found that the evidence did not support higher ratings under the applicable rating criteria.
- Dismissed
The Veteran's appeal for an initial rating higher than 30 percent for cardiomegaly with cardiac hypertrophy and valvular heart disease has been dismissed due to the appellant withdrawing the appeal.
- Remanded (sent back)
The Veteran's appeal is remanded due to the need for clarification on whether his valvular heart disease is related to his service-connected supraventricular tachycardia, and because the TDIU claim is intertwined with the increased rating claim.
- Remanded (sent back)
The Board has decided to remand the case due to a duty-to-assist error, specifically failing to obtain a medical opinion regarding whether the Veteran's valvular heart disease and coronary artery calcification is caused or aggravated by his service-connected hypertension.
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