Autopsy Reveals Tragic New Details In Gene Hackman's Death
By Kelly Coffey-Behrens on April 27, 2025 at 5:22 PM EDT
Updated on April 27, 2025 at 5:41 PM EDT

New details surrounding the death of Hollywood legend Gene Hackman have been released, and they paint a tragic picture.
After their tragic passing, Gene Hackman and Betsy Arakawa were quietly laid to rest during a private memorial service in Santa Fe.
Gene Hackman’s Autopsy Reveals Heart And Alzheimer's Battles

According to official documents obtained by Fox News Digital from the Office of the Medical Investigator in New Mexico, the Oscar-winning actor had a "history of congestive heart failure" and "severe chronic hypertensive changes, kidneys."
Hackman, who famously starred in classics like "The French Connection" and "Unforgiven," had a "bi-ventricular pacemaker" placed back in April 2019, and his autopsy also noted "neurodegenerative features consistent with Alzheimer's Disease."
The medical examiner further cited "microscopic findings of advanced stage Alzheimer's disease [in his brain]."
The findings detailed a number of serious health issues.
"Autopsy showed severe atherosclerotic and hypertensive cardiovascular disease, with placement of coronary artery stents and a bypass graft, as well as a previous aortic valve replacement," the documents revealed.
It was also found that "remote myocardial infarctions were present involving the left ventricular free wall and the septum, which were significantly large."
Gene Hackman Had Signs Of Fasting Before Death, Autopsy Reveals

Hackman tested negative for Hantavirus and his "testing for carbon monoxide was less than 5% saturation, in keeping with a normal range," the report added.
However, what stood out in the toxicology report was the discovery of acetone in his system. While acetone is a common solvent found in chemicals, it can also appear as "a product of diabetic- and fasting-induced ketoacidosis as well as a metabolite following isopropanol ingestion," per the findings.
Hackman's toxicology showed acetone levels at 5.3 mg/dL, far higher than the "normal endogenous acetone levels" in blood, which top out at just 0.3 mg/dL.
The report concluded that these findings were "consistent with a prolonged level of fasting," suggesting the beloved actor may have gone a significant amount of time without eating before he passed.
Gene Hackman And Wife Betsy Arakawa's Tragic Final Days

Hackman and Arakawa were found dead inside their Santa Fe home on February 26 by maintenance workers Jesse Kesler and Roland Lowe Begay. According to a frantic 911 call, Kesler, who had worked as a personal contractor for the couple for 16 years, discovered the scene and immediately called for help.
A search warrant affidavit revealed the grim details that Arakawa was found "decomposed with bloating on her face and mummification in her hands and feet," while Hackman showed "the same signs of decomposition."
Detectives described the deaths as "suspicious enough in nature to require a thorough search and investigation," the documents stated.
Investigators found rodent nests, feces, and active traps on the property. They also noted that two vehicles, which appeared to be either out of use or designated for farm work, showed evidence of infestation.
Although no external trauma was noted on either Hackman or Arakawa, New Mexico authorities quickly launched a criminal probe to ensure no foul play was involved.
Betsy Arakawa Searched For Answers Before Her Death

Just days before their deaths, Arakawa had desperately been seeking answers about Hackman's declining health. According to documents obtained by TMZ, Arakawa was searching online for symptoms related to COVID-19, including dizziness and nosebleeds.
On February 8 and again the morning of February 12, the day she died, Arakawa had multiple browser tabs open about health issues. In an email to her masseuse, the classical pianist revealed that Hackman had woken up on February 11 "feeling unwell," describing his symptoms as cold or flu-like.
Though a COVID test came back negative, Arakawa canceled her massage appointment "out of an abundance of caution."
Records also showed Arakawa had purchased several Boost Oxygen canisters on February 11.
Investigators later reviewed her phone records, voicemails, and security footage, which showed her final online search was for a healthcare provider in Santa Fe.
Tragically, it was later revealed that Arakawa died of hantavirus pulmonary syndrome, a rare but deadly respiratory disease.
Gene Hackman And Betsy Arakawa Laid To Rest

Following their tragic deaths, Hackman and Arakawa were quietly laid to rest in a private memorial service in Santa Fe, according to PEOPLE Magazine.
The intimate ceremony was attended by Hackman’s three children, Christopher, Elizabeth, and Leslie, as well as close friends.