Maggot debridement therapy for a patient with critical limb ischaemia and severe cardiac dysfunction: possibility of limb salvage

Akio Nishijima; Naoto Yamamoto; Ryuichi Yoshida; Koji Hozawa; Satoshi Yanagibayashi; Megumi Takikawa; Rie Hayasaka; Junko Nishijima; Tadasu Okada; Mitsuru Sekido

doi:10.1080/23320885.2017.1327322

Maggot debridement therapy for a patient with critical limb ischaemia and severe cardiac dysfunction: possibility of limb salvage

Case Reports Plast Surg Hand Surg. 2017 May 16;4(1):42-47. doi: 10.1080/23320885.2017.1327322. eCollection 2017.

Affiliations

¹ Department of Plastic and Reconstructive Surgery, New Tokyo Hospital, Matsudo, Chiba, Japan.
² Department of Cardiovascular Medicine, New Tokyo Hospital, Matsudo, Chiba, Japan.
³ Department of Dermatology, Mami Dermatology Clinic, Koshiba, Nara, Japan.
⁴ Department of Plastic and Reconstructive Surgery, University of Tsukuba, Tsukuba, Ibaraki, Japan.

Abstract

Ischaemic skin ulcer occurred on the foot of a 73-year-old man who had a history of fulminant myocarditis with severe cardiac dysfunction. We attempted wound bed preparation by maggot debridement therapy and salvaged his limb. It can be one of the adjuvant treatment strategies for critical limb ischaemia.

Keywords: Critical limb ischemia; cardiac dysfunction; fulminant myocarditis; maggot debridement therapy; wound bed preparation.

Publication types

Case Reports