To have a Near Death involvement in your fantasy suggests that you are experience a backslide of sorts. You are returning to your old propensities and ways. On the other hand, the fantasy demonstrates that you are being given another opportunity or second attempt at something.

To have a near death experience in your dream implies that you are experience a relapse of sorts. You are reverting back to your old habits and ways. Alternatively, the dream indicates that you are being given a second chance or second try at something.