Among the postoperative factors that Peña cited were evidence of pneumonia that possibly had been caused by aspirated vomit. Other factors included her pain-control medication and the tight bandaging of her chest. West died a day after she underwent breast reduction and liposuction surgery. Her death has generated national attention and sparked debate about the risks of cosmetic surgery.
In a prepared statement Thursday, the coroner's office said "multiple postoperative factors could have played a role in the death. The exact contribution of each factor could not be determined." However, the coroner's office said there was no evidence that the death had been caused by a mistake in surgery or anesthesia. The coroner's report said West's coronary arteries were 50% to 70% blocked, and one coronary artery was hardening with plaque — all risk factors for a heart attack.