A plane with a heart patient on board headed to Utah for treatment crashed on a busy Elko Highway early Friday evening. The Piper PA 31 crashed under unknown circumstances in the Barrick Gold parking lot near the Gold Dust West Casino next to the Mountain City Highway. The patient, along with three crew members were killed in the crash, including 29-year-old Tiffany Urresti of Elko, who started working for American Medflight two months ago. She was engaged to be married in May.