Abstract

Pulmonary barotrauma is a rare but feared complication of scuba diving, with around 30% mortality. We report an uncommon case of pulmonary barotrauma complicated by arterial gas embolism with both coronary and neurological ischemic injuries after scuba diving. A 46-year-old-man was admitted to our hospital for acute coronary syndrome and stroke following a scuba dive. After hyperbaric oxygen therapy, the patient recovered fully with a subsequent normal coronary angiogram. Myocardial ischemia can be a complication of scuba diving, but does not always reveal significant obstructive coronary artery disease.

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