David Hekili Kenui Bell 's autopsy report has been released, painting a clearer and heartbreaking picture of what happened before his sudden death at just 46 years old.

The autopsy report -- obtained by PEOPLE -- was issued by the Hawaii Police Department more than two months after the "Lilo & Stitch" actor died on June 12 on Hawaii's Big Island. The report lists four major diagnoses: acute respiratory failure, sepsis, hypertensive/atherosclerotic heart disease, and morbid obesity. Disney

Atherosclerosis occurs when fatty deposits clog up artery walls, restricting blood flow or causing clots.

The report states emergency crews tried to save Bell, who had defibrillator pads on his chest, an airway in place, IV access, and even an intraosseous needle in his leg for fluids a

See Full Page