TMZ has learned that just weeks before Donda West died, a plastic surgeon refused to perform procedures on her because of a health condition that could have led to a heart attack.

We've learned Beverly Hills physician, Dr. Andre Aboolian, was set to perform a tummy tuck and breast reduction on Ms. West, but told her she needed to get clearance from an internist whom Dr. Aboolian recommended. We're told West never went to that doctor, and subsequently had the procedures performed -- but not by Dr. Aboolian.

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