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.
Keywords
reperfusion injury - compartment syndrome - thrombolysis
