THROMBOSED SUPERFICIAL FEMORAL-ARTERY ANEURYSMS IN A CHILD - FAILURE OF LIMB SALVAGE WITH CATHETER-DIRECTED THROMBOLYSIS

ISCHEMIC limb threat of the lower extremity due to aneurysmal disease is exceedingly rare in children. Of the 23 patients described by Sarka r et al (1) in their review of arterial aneurysms in children, none pr esented. with ischemic symptoms related to aneurysm occlusion. In addi tion, thrombolysis is rarely employed for lower extremity arterial occ lusive disease in children unrelated to femoral artery catheterization or other form of trauma. We report an unsuccessful attempt at limb sa lvage, despite significant clot lysis during urokinase infusion, in a 3-year-old child with thrombosed superficial femoral artery aneurysms.