J Pediatr Intensive Care 2020; 09(01): 074-076
DOI: 10.1055/s-0039-1700522
Case Report
Georg Thieme Verlag KG Stuttgart · New York

Reperfusion Injury with Compartment Syndrome Following Systemic Thrombolysis for Cardiac Catheterization-Related Arterial Thrombosis in an Infant

Dyan Zhewei Zhang
1  Cardiology Service, Department of Paediatric Subspecialties, KK Women's and Children's Hospital, Singapore, Singapore
,
Teng Hong Tan
1  Cardiology Service, Department of Paediatric Subspecialties, KK Women's and Children's Hospital, Singapore, Singapore
,
Kenneth Pak Leung Wong
2  Department of Orthopaedic Surgery, KK Women's and Children's Hospital, Singapore, Singapore
,
Sreekanthan Sundaraghavan
1  Cardiology Service, Department of Paediatric Subspecialties, KK Women's and Children's Hospital, Singapore, Singapore
,
Jonathan Tze Liang Choo
1  Cardiology Service, Department of Paediatric Subspecialties, KK Women's and Children's Hospital, Singapore, Singapore
› Author Affiliations
Further Information

Publication History

02 June 2019

19 September 2019

Publication Date:
01 November 2019 (online)

Abstract

Systemic thrombolysis is increasingly used for management of arterial thrombosis following cardiac catheterization, and complications apart from bleeding manifestations are not well reported. We report the case of an infant with lower limb ischemia secondary to femoral arterial thrombosis, which developed after cardiac catheterization. Systemic thrombolysis resulted in successful reperfusion of the lower limb. However, the infant subsequently developed compartment syndrome, requiring an emergent fasciotomy. This case highlights the importance of surveillance for the development of reperfusion injury-related compartment syndrome postsystemic thrombolysis for arterial thrombosis.