heart 10% ejection fraction with gall bladder surgery

My fiance's heart has a 10% ejection fraction and afib.  He was recently hospitalized with gallbladder problems (no stones).  The surgeon said the gallbladder needed to be removed, but wanted the cardiologist to approve the surgery.  The cardiologist said it was up to the surgeon.  They used antibiotics, he recovered and was released from the hospital.  I'm afraid his gallbladder problems have returned.  He's so bloated he can't get a good deep breath.  He hasn't slept well for the past 2 weeks.  He props himself up in a sitting position to sleep.   He's not able to eat much.  He's thrown up once.  With his heart condition is there an SAFE or alternative way to remove his gallbladder?

[CCFHeartMD21]

It is somewhat difficult to comment on the gallbladder issue though I would be very concerned that your fiance's current symptoms of difficulty breathing, worsened breathing with lying down, and abdominal bloating may be due to heart failure. These symptoms are frequently seen in heart failure and should be evaluated in soon either by his cardiologist, his primary doctor, or an emergency department. We generally recommend holding off on surgery until the patient's heart failure is optimally managed which may not be the case with your fiance. I would recommend discussing his symptoms with your doctor in the the very near future. I hope this helps.