<s>[INST] are you able to tell me what the risk would be for an 87 year old woman (my aunt) who has an enlarged heart, to have an advanced skin cancer surgically removed from her leg.  She is reticent to have it done but of course has had explained the risks of not doing so too. thanks [/INST] Hi, dairy have gone through your question. I can understand your concern. Risk of anesthesia is higher in old age patient with enlarged heart. First she should go for echocardiography and ECG. If ECG is normal with normal ejection fraction then she can go for surgery. Otherwise, there is chance of complications. Consult your doctor and take decision accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health. </s>