Gene Hackman’s wife Betsy Arakawa had ‘fluid accumulation in her chest’ at time of her death, autopsy shows



An autopsy for Gene Hackman’s wife, Betsy Arakawa, reveals new details about her death.

Arakawa, who died due to hantavirus pulmonary syndrome, had fluid accumulation in her chest and mild hardening of the vessels that supplied blood to the heart and body, according to an autopsy obtained by The Associated Press. Hantavirus pulmonary syndrome is transmitted from animals to humans and is commonly found in rodents, the New Mexico Department of Health confirmed.

Arakawa also tested negative for COVID-19 and the flu and showed no signs of trauma. The classical pianist’s carbon monoxide levels were within normal range, according to the AP, and she tested positive for caffeine and negative for alcohol and intoxicating drugs.

On Sunday, an official cause of death was revealed for the Oscar-winning actor. 

According to the Office of the Medical Investigator in New Mexico, a final autopsy obtained by Fox News Digital shows that Hackman had a “history of congestive heart failure” in addition to “severe chronic hypertensive changes (in his) kidneys.”

The legendary actor had a “bi-ventricular pacemaker” implanted in April 2019, according to documents. “Neurodegenerative features consistent with Alzheimer’s Disease” were also noted in the autopsy.

Actor Gene Hackman arrives with his wife, Betsy Arakawa, for the 60th Annual Golden Globe Awards in Beverly Hills, Calif., Sunday, Jan. 19, 2003. AP

“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 add.

“Remote myocardial infarctions were present involving the left ventricular free wall and the septum, which were significantly large. Examination of the brain showed microscopic findings of advanced stage Alzheimer’s disease.”

Law enforcement officials talk outside the home of actor Gene Hackman on Thursday, Feb. 27, 2025 in Santa Fe, New Mexico. AP

Hackman tested negative for hantavirus. “Testing for carbon monoxide was less than 5% saturation, in keeping with a normal range,” the medical examiner noted.

A toxicology report found trace amounts of acetone in Hackman’s system when he died. The solvent used for chemicals is “also a product of diabetic- and fasting-induced ketoacidosis as well as a metabolite following isopropanol ingestion,” according to the report.

Hackman’s toxicology test showed acetone levels at 5.3 mg/dL. Normal endogenous acetone levels in blood are up to 0.3 mg/dL.

Surveillance footage shows Betsy Arakawa shopping at Sprouts grocery store on February 11, 2025. Santa Fe Sheriff’s Office

The findings are consistent with a prolonged level of fasting.

Hackman and Arakawa’s bodies were found Feb. 26 by maintenance workers Jesse Kesler and Roland Lowe Begay. Kesler, who had worked as a personal contractor for the couple for 16 years, made a frantic 911 call.

A search warrant affidavit obtained by Fox News Digital revealed that Arakawa was found decomposed with bloating in her face and mummification in her hands and feet.

Gene Hackman and Betsy Arakawa during 66th Annual Academy Awards at Dorothy Chandler Pavillion in Los Angeles, CA, United States. Ron Galella Collection via Getty Images

Hackman was found to have the same signs of decomposition as his wife.

Through a search of Arakawa’s computer, investigators discovered that she had researched COVID-19 and flu-like symptoms multiple times before she died. Investigators recovered an email Arakawa sent to her massage therapist Feb. 11 in which she revealed Hackman had a “covid test” after experiencing “flu/cold-like symptoms.”

Hackman was 95 at the time of his death, and his wife was 63.



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