BACKGROUND: Pulmonary barotrauma is a rare but feared complication of scuba diving, with around 30% mortality. OBJECTIVE: We report an uncommon case of pulmonary barotrauma complicated by arterial gas embolism with both coronary and neurological ischemic injuries after scuba diving. CASE REPORT: 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. CONCLUSION: Myocardial ischemia can be a complication of scuba diving, but does not always reveal significant obstructive coronary artery disease.
BACKGROUND: Pulmonary barotrauma is a rare but feared complication of scuba diving, with around 30% mortality. OBJECTIVE: We report an uncommon case of pulmonary barotrauma complicated by arterial gas embolism with both coronary and neurological ischemic injuries after scuba diving. CASE REPORT: 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. CONCLUSION: Myocardial ischemia can be a complication of scuba diving, but does not always reveal significant obstructive coronary artery disease.