Prominent Virginia doctor and his tour guide murdered in Belize

A prominent Virginia physician who was on vacation in Belize over the weekend was shot to death along with his tour guidewho had been targeted by a local gangster, officials said Tuesday.

Dr. Gary Swank, 53, worked as an interventional cardiologist at the Carilion Clinic in Roanoke, was medical director of the clinic’s Cardiac Catheterization Lab and also taught at Virginia Tech’s medical school, according to the hospital. The U.S. State Department also confirmed Swank’s death.

“We are heartbroken at the loss of our incredible husband and devoted father Gary Swank, M.D., who we will forever cherish,” according to a family statement released by the hospital on Tuesday.

“His senseless murder has left us to mourn a purposeful life ended too soon.”

Swank, an avid fly fisherman, was traveling with his wife and school-age children, neighbors told NBC affiliate WSLS in Roanoke.

Dr. Gary SwankCarilion Clinic

The doctor and his guide, 53-year-old Mario Graniel, had gone out in their skiff Sunday at about 11:30 a.m. local time and were later found shot to death, police in San Pedro said.

Graniel was found “in a fetal position behind the steering wheel of the skiff” and had been shot four times, according to a police statement. Swank’s “lifeless body” was “floating face down in the lagoon about 30 feet away from the skiff” with four gunshot wounds, police said.

They were fishing when “a dark color skiff passed by and open fire on the boat,” police said.

Police believe the gunmen were targeting Graniel, who “had a misunderstanding with one of the local notorious gang” figures of San Pedro, Belize Police Commissioner Chester Williams told local Channel 5 news.

Someone had shot at Graniel’s home the night before the double murder but he still went to work on Sunday despite these threats, police said.

Mario Graniel, a tour guide in Belize.Channel 5 Belize

Asked if Swank was a victim of circumstance, at the wrong place at the wrong time, Williams said: “That is surely the case.”

“I am shocked and saddened by the death of Dr. Gary P. Swank. I ask all Virginians to remember Dr. Swank’s wife and children as they deal with this unthinkable tragedy,” U.S. Rep. Ben Cline, R-Va., the doctor’s congressman, said in a statement. “My office stands ready to assist Dr. Swank’s family in the coming days.”

Swank’s sudden death stunned co-workers and patients.

“He saved my life, and every time I went to his office, he was a very knowledgeable, patient and caring person,” patient Teresa Hodges told WSLS. “He’s part of my life.”

Abigail Williams contributed.