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This 45 y/o lady is seen in consultation for Dr. John Doe. She has been under consideration for ventral hernia repair and has a background of aortic valve replacement and known coronary artery disease. The patient was admitted with complaints of abdominal pain, anorexia, and vomiting. She underwent a CT scan of the abdomen and pelvis and this showed the ventral hernia involving the transverse colon, but without strangulation. There was an atrophic right kidney. She had bilateral renal cysts. The hepatic flexure wall was thickened. There was sigmoid diverticulosis without diverticulitis. It has been recommended to her that she undergo repair of the ventral hernia. For this reason, cardiology consult is obtained to assess whether she can be cared from the cardiac standpoint.