Alex's Heart Surgery

My name is Denis and I am writing this on behalf of Simona (Sima) the mother of a very good friend of mine Alexander Nayda mostly know to everyone as 'Sugar' Alex is in very URGENT need of Second Heart Surgery after the Bioprosthetic Tricuspid Valve which was Implanted into his heart last year has failed. Since the mortality and morbidity rate for another open heart surgery is to high, his only option is experimental of label procedure called Tricuspid Valve in Valve implantation. Although Valve implant is now successfully performed on the failing Bioprosthetic Mitral and Aortic Valves of high risk patients, the failure of and need for re-do surgery on a failing Bioprosthetic Tricuspid Valve is not so common and so it's not covered by any insurance companies.
In 2001 Alex has survived a traumatic hit and run accident in which an unlicensed , uninsured Taxi driver moved him down while running a red light into an intersection that Alex was driving threw on his motor scooter. Alex sustained  Multiple injuries and fractures from his head to right lower extremities. He noticed progressive fatigue and decreased exercise tolerance over the years, but at that time though it was related to his work duties and schedule as Bartender. Incidental evaluation of his heart revealed Severe Tricuspid Regurgitation in 8/2015. He had a Tricuspid Valve Replacement on 2/24/2016. The Procedure was complicated by a pericardial effusion which is Fluid accumulation around the Heart, which could have stopped his heart. He had another Complication of Thrombus, a blood clot in the heart chamber, for which he needs daily blood thinner. He had progressed symptomatically over the year and cannot handle the routine exertion that his prior job entails. He's also tried real estate, however his chronic fatigue, shortness of breath with tasks such as walking more then 100feet in a parking lot to a store, climbing stairs and completing basic activities that daily living have placed great strain on him. His Psychological state is consumed by anxiety which has worsened due to the progressive limitations from his Cardiac condition.The stress of him not being able to ' Live a Normal Life' has been Tremendous. He Had a Heart Catheterization in 8/2017 that showed NYHA Class II Heart Failure with an ejection fracture of 45% the degree to which his heart squeezes to pump blood and Moderate Tricuspid regurgitation. His visit on 10/18/17 revealed he has progressed to NYHA Class III Heart Failure with marked shortness of breath with minimal activity, which precluded him from gainful employment,  and to be active in general before his condition is fixed can have irreparable damage to his hart. With that said I am asking for your help to raise funds for his Urgent Heart Surgery and Recovery.  Simona will be receiving the funds directly and has set up a (separate) dedicated account to help him manage  the entire process. Thank You !!!