Sen. Lindsey Graham died of a ruptured aorta brought on by chronic heart disease, according to the preliminary findings of the DC medical examiner’s office released Sunday.

An initial investigation found that the 71-year-old senator from South Carolina died from “Aortic Dissection due to Arteriosclerotic Cardiovascular Disease,” according to the findings, which were released by the senator’s office.

The rare condition involves a tear in the body’s main artery; it mostly affects older men, according to the Mayo Clinic.

“The death certificate will be PENDING until all the toxicological and microscopic testing are finalized and at that point the death certificate will be updated to reflect the cause of death and appropriately classify the manner of death,” the medical examiner’s office said in its initial assessment.

Graham’s family has a history of heart disease and his father, Florence James Graham, died of a heart attack in his late 60s.

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