He was only returned after the Swedish embassy learned about his condition. He had already been in a coma for a year by then and would have stayed in the DPRK for the remainder of his sentence otherwise.
If they claimed that a man in his twenties had died of a heart attack as they did with Japanese citizens they abducted, that would have been an even bigger scandal.
If they claimed that a man in his twenties had died of a heart attack as they did with Japanese citizens they abducted, that would have been an even bigger scandal.