Final autopsy reports have been released for Gene Hackman and his wife, Betsy Arakawa. The reports obtained by Deadline confirm the main cause of death for Hackman was severe heart disease and advanced Alzheimer’s as a contributing factor.

SANTA FE, N.M. (AP) — Betsy Arakawa, the concert pianist who was married to actor Gene Hackman, died from hantavirus pulmonary syndrome, according to an autopsy report released Tuesday that said that her lungs were heavy and congested.

PEOPLE obtained a final autopsy report regarding Gene Hackman and his wife Betsy's February deaths on Sunday, April 27. New Mexico's Office of the Medical Investigator ruled on Feb. 27 that Gene died of hypertensive and atherosclerotic cardiovascular disease,