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A plane carrying 161 passengers was forced to make an emergency landing after the pilot suffered what was later proved to be a fatal heart attack.
The United Airlines flight from Houston, Texas to Seattle, Washington was diverted to Boise, Idaho on Thursday evening.
Passengers on board with medical training attempted life saving manoeuvres prior to landing.
Pilot Henry Skillern, 63, later died in hospital.
He had worked for the airline for 26 years.
The flight's first officer radioed the Boise airport's control tower at 19:55 (2:55 GMT) on Thursday to report a medical emergency.
Two military medical residents onboard tended to Mr Skillern as the plane made its emergency approach, according to media reports.
The plane landed at the airport by 20:10 and was greeted by firefighters who removed Mr Skillern and transported him to a local hospital.