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Mickey Rourke’s beloved pup is facing a life-threatening health crisis … and the cost of essential surgery could be more than the actor can bear.

Sources with direct knowledge tell TMZ … Mickey’s longtime dog, Ivan, is suffering from heart disease and needs an operation — one that doesn’t come cheap.

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We’re told the procedure will cost around $10,000 … and Ivan could potentially require a second surgery costing an additional $6,000 to $8,000.

Making matters even more complicated … the actor is in dire straits and doesn’t have the money on hand to pay for the procedure. Mickey had just checked into a hotel with Ivan two weeks ago.

As you know … Mickey emphatically rejected a GoFundMe set up to help him stay afloat and avoid eviction — despite it raising more than $100K. A GoFundMe spox tells us donation refunds were issued January 14th, and donors will get 100 percent of their contributions back.

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We’re told Mickey is now urgently looking for work to cover his dog’s heart surgery … but as we previously reported, he’s been reluctant to accept offers being presented to him by his manager.

We reached out to Rourke’s rep, Kimberly Hines, who tells us … “I’m very resilient and committed to seeing Mickey make the right choices for his career and for his personal well-being. That said, we are at a moment of truth, and ultimately only Mickey can decide how he wants to play out his next chapter.”

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