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Coronary artery air embolization is a rare event leading to catastrophic hemodynamic compromise within seconds after introduction of air emboli within the coronary arteries. The management of massive air embolism should be extremely quick so as to save life of the patient. Coronary air embolism is an uncommon complication encountered during cardiac catheterization. It results from the iatrogenic introduction of air into the coronary vasculature. It is potentially life threatening as the heart and brain are unable to stand even short periods of ischemia.