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Donda West died of heart disease while suffering “multiple post-operative factors” after plastic surgery, the L.A. coroner said Thursday.

However, an autopsy failed to determine the exact role these factors played in Kanye’s mother’s death following liposuction and breast-reduction surgery.

“The final manner of death could not be determined,” the coroner said in a statement. “Multiple post-operative factors could have played a role in the death. The exact contribution of each factor could not be determined. There was no evidence of a surgical or anesthetic misadventure.”

Just a day prior to her death, West had undergone cosmetic surgery with awful Dr. Jan Adams, who has faced well-earned scrutiny since West died.

At the time her death, a family spokesperson said West had passed away “as the result of complications from a cosmetic surgical procedure.”