The incident is one of several bizarre episodes contained in the book chronicling Mandela's final years by Vejay Ramlakan, who was South Africa's surgeon general and the former president's physician until his death in 2013.
Ramlakan was accompanying Mandela from his Johannesburg home to a specialist heart hospital in Pretoria in June 2013 when smoke began billowing from the ambulance carrying the former liberation leader.
"A pall of black smoke enveloped the ambulance as it slowed to a halt in the fast lane of the freeway," Ramlakan wrote.
Despite the fears of Mandela's medical team, their patient was unharmed and after 30 minutes was transferred to a backup ambulance to complete the journey.
Ramlakan also revealed that shortly after Mandela's death at the age of 95 in December 2013 following a prolonged respiratory infection, a spy camera was found in the morgue where his body was held.
"I found this a symptom of the lunacy of persons whose unfettered curiosity was most barbaric," he wrote.
The book "Mandela's Last Years" was released ahead of Mandela Day on Tuesday, an annual day to honour his memory.
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