Indiana mom who died on plane coming home from Dominican Republic died of natural causes

COCKBURN TOWN — The Indiana mom who perished last month while flying home from vacation in the Dominican Republic died from a tear to one of her neck arteries, her brother said today.

Stefanie Smith, a 41-year-old mother of two teenagers from Danville, suffered a carotid artery dissection, Chris Volz said.

This condition, which affects the major blood vessels that supply blood to the brain, is the most common cause of strokes in younger patients, according to Penn Medicine and the National Library of Medicine.

Smith was flying home on flying on February 28. when she suddenly went into convulsions and the plane was diverted to the Turks and Caicos where she died at the Cheshire Hall Medical Centre, according to The Royal Turks and Caicos Islands Police Force.

Volz said earlier that he was not aware of his sister having any pre-existing health conditions. He said she was an avid exerciser who continued to work out even while on vacation with her boyfriend.

Smith’s body is expected to be returned to Indiana sometime next week, Volz said. 

By CORKY SIEMASZKO/NBC News

Siemaszko is a senior reporter for NBC News Digital.

John F. McCarthy is a veteran journalist in the Caribbean, writing from the "Decision Space" where survival meets the surreal. His reporting steel was tempered by a lineage of legendary editors and broadcasters, including Ed Wynn Brant (The Bomb), Owen Eschenroder (Ann Arbor News), Lynelle Emanuel (BVI Beacon), and Charles Thanas (WSVI-TV). Alongside longtime colleague Kenneth C. "Casey" Clark, McCarthy has navigated the front lines of the territory’s history—from the 1997 volcanic "snow" to every major hurricane since Hugo. Known for leaning out of doorless helicopters to capture the "money shot," McCarthy now edits the V.I. Free Press, providing the essential link between the island's colonial past and its SpaceX future.