A growth on the artery wall is 'choking off' the blood supply.
He was 'choking back tears' as he talked about his late wife.
She 'choked' to death. = She died by 'choking'.
(..) - You mean barefoot and pregnant? That was a joke. Yeah. I'm assuming it wasn't the "barefoot" part that made you nearly choke on your food. You do want to have kids someday, right? Someday, sure. You don't really sound sure. (..)2018 Fifty Shades Freed