Donda West’s plastic surgeon has come forward saying he did nothing wrong before fingers start pointing at him. TMZ reports:

Plastic surgeon Dr. Jan Adams has told TMZ that he was the doctor who performed cosmetic surgery on Kanye West’s mother Donda before she died.

Dr. Adams told TMZ her death, which followed a tummy tuck and breast reduction, was unforeseen and could have been caused by a heart attack, pulmonary embolism, or massive vomiting.

Dr. Adams tells TMZ West consulted with him over a period of four months. He says she changed her mind numerous times, sometimes green-lighting the surgery and sometimes halting it.

As for the TMZ report that Beverly Hills doctor, Andre Aboolian, refused to conduct the surgery because of a medical condition that West had, Dr. Adams said of Dr. Aboolian, "He is sleazy and manipulating the truth to elevate his own importance."

If Donda had a medical condition that made her a high risk patient, then Dr. Jan Adams should have declined the COSMETIC surgery. Doing multiple cosmetic surgical procedures increases the risk of mortality even in healthy patients, so if Dr. Jan Adams knew Donda had a medical condition that already increased her risk, and he agreed to do two procedures at once, then he should be held liable for the outcome, which was her death. Kanye West would have legal grounds, in my opinion, to file a wrongful death lawsuit. Kanye’s lawyers are no doubt assessing the situation.

The L.A. County Coroner confirmed an autopsy was being performed to determine the cause of death. Donda West, is Kanye West’s mother. One report said Dr. Donda West died Saturday at Centinela Hospital in Marina del Rey. West was at her home when 911 was called. 911 was called at 7:35 PM Saturday night, paramedics responded and transported West to nearby Centinela Freeman Hospital in Marina del Rey. A source said it was a "sick person call."

A hospital spokesperson said that an unresponsive West was brought to their ER around 8:00 PM Saturday night. They attempted to resuscitate her, but were unsuccessful. She was pronounced dead around 8:30 PM that night.

Earlier today I said it could have been hypovolemic shock after liposuction. Now, some reports are saying her cosmetic surgical procedure may have been both liposuction, and breast augmentation. The more procedures at once the higher the mortality risk. Very sad especially right before the holidays. I feel for Kanye.

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. 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. A source said West never went to that doctor, and subsequently had the procedures performed, but not by Dr. Aboolian.

It sounds like the doctor will be off the hook if he did not have a complete medical history from his patient Donda West.