The youngest of New York's infamous Five Families which dominate the American Mafia, the Colombo crime family is also surely the most chaotic.
Formed out of the ashes of Charles "Lucky" Luciano's domination of the then-Profaci crime family, Joseph Colombo in the early-60s united key elements under his control to restore the family to the summit of American crime royalty.
Victor Orena's role in the fight is less glorious.
The former labour racketeer rose quickly through the ranks of the Colombo family after being "made" in the early-70s.
And when the family's leadership ended up with 100-year prison sentences thanks to a landmark US government crackdown in the mid-80s, plucky Orena was one of the biggest fish left out of jail.
Victor strengthened his connections with rival crime family the Gambinos, led by John Gotti.
By the end of the decade, he was one of the family's leading lights despite humble beginnings and no blood ties to organised crime.
In November 1989, Orena allegedly ordered the killing of Colombo soldier Thomas Ocera, who he accused of skimming away mob profits – and was said to have killed a friend of Gotti's.
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Ocera was strangled to death with a piano wire in a murder which further strengthened Victor's place in the mob.
In early 1991, with the senior Colombos still incarcerated, Victor again made a power grab.
Victor pleaded with the families' council the Mafia Commission to make him leader, but they told him to win support from his subordinates themselves.
Politics was never Victor's game; violence was. And when the core family heard of Orena's audacious proposal, they ordered a hit on him.
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Victor saw the five armed men outside his Long Island house at the last moment before his car was set to pull up.
Orena's survival was the start of the years-long Third Colombo War, in which Victor and the main Colombo faction fought tirelessly to assassinate each other's most important soldiers and capos.
The war only ended because Victor was himself charged by the government with murder and racketeering – and went into hiding.
By April 1992, 12 had been killed and 28 were wounded.
Casualties of the conflict included innocent shopkeepers and the companions of senior gangsters.
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Now aged 87 and in a Massachusetts medical prison serving three life sentences plus an 85-year term for his role in New York's last mass gang war to date, Orena must be thinking about how it all went wrong.
Though the extent to which he can reflect on his own life is doubtful.
Riddled with Alzheimer's, Orena's lawyers have pleaded with the authorities to let him out.
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They claim he "doesn't know who or where he is," according to the New York Daily News.
And when "shell of a man" Victor does have an idea, he's convinced he's President of the United States.
Other times he thinks he's head of the Federal Medical Center, Devens in Massachusetts, where he's been jailed for almost 30 years.
And when he got Covid last year, Orena was also paranoid it was a conspiracy invented by Joe Biden.
Lawyer David Schoen believes Orena is no longer a threat to the public because his dementia is so severe.
He begged judge Eric Komitee in a hearing this week to release his client.
Mr Schoen said: "Mr Orena is completely unable to self-care. The delusions have been there for quite a while.
"Mr Orena does not know who he is or where he is."
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Orena is also unable to use the loo by himself, the lawyer added.
Assistant US attorney Devon Lash wasn't convinced and said the gang war triggered by Orena's coup was too deadly to be forgotten.
Even in his sorry state, the ex-mob mastermind could still be capable of violence.
It is in the memory of the innocent slain victims of the Third Colombo War that Orena remains in jail.
For how much longer is still to be seen.
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