The aim of study was to analyze the outcome of @entity146 , early surgical intervention to active @entity884 ( @entity884 ) complicated by acute @entity712 , uncontrollable @entity281 and large, mobile vegetation and to evaluate the validity of current therapeutic strategy on it's long-term outcome. @entity1 AND METHODS: We retrospectively investigated surgical outcome of 51 @entity1 who underwent surgical intervention to eradicate @entity299 and to reconstruct subsequent structural destruction due to active @entity884 performed between 2002 and 2013. @entity1 's mean age was 56  17 (14~83) years and 36 males, 2 prior cardiac surgery-performed and 2 hemodialysis-dependent @entity177 @entity1 were included. All @entity1 were followed on long-term basis. Mean follow up duration was 61  46( 1~164) months. We classified @entity1 into 2 groups according to urgency of surgical intervention:early surgical (ES) group who underwent surgery within 2 weeks from diagnosis of @entity884 and conservative surgical( CS) group who underwent after 2 weeks more from the diagnosis. RESULTS: Two @entity1 died during hospitalization due to @entity998 (LOS) for @entity63 after old @entity583 and postoperative @entity63 (preoperative hemodialysis-dependent @entity1 ). Two @entity385 and 1 hemorrhagic transformation of @entity385 occurred postoperatively. There was no @entity281 and recurrent @entity281 postoperatively. On long-term follow up, cumulative survival was 90/79/68% in 1/5/10 years. on ES group and 100/89/79% in 1/5/10 years. on CS group, respectively. Freedom from @entity204 were 100/100/100% in 1/5/10 years. on ES group and 100/100/100% in 1/5/10 years. on CS group, respectively. There were 1 @entity204 (125 months after operation) and 8 non-cardiac @entity204 on long-term survival. CONCLUSION: Early surgical strategy for active @entity884 to prevent @entity884 -related preoperative adverse complications seems to be acceptable.

[Efficacy of Early Surgical Strategy for Active XXXX ].

@entity1 :: ('9606', 'Species') :: ['patient', 'Patient', 'patients', 'PATIENTS'] @entity712 :: ('MESH:D006333', 'Disease') :: ['congestive heart failure'] @entity146 :: ('MESH:D001523', 'Disease') :: ['aggressive'] @entity998 :: ('MESH:D002303', 'Disease') :: ['low cardiac output syndrome'] @entity63 :: ('MESH:D007511', 'Disease') :: ['ischemic colitis', 'ischemic myopathy'] @entity177 :: ('MESH:D051437', 'Disease') :: ['renal failure'] @entity281 :: ('MESH:D007239', 'Disease') :: ['infection', 'mediastinal infection', 'intracardiac infection'] @entity299 :: ('MESH:D006331', 'Disease') :: ['intra-cardiac infection'] @entity583 :: ('MESH:D009203', 'Disease') :: ['myocardial infarction'] @entity204 :: ('MESH:D003643', 'Disease') :: ['deaths', 'cardiac death'] @entity385 :: ('MESH:D002544', 'Disease') :: ['cerebral infarctions', 'cerebral infarction'] @entity884 :: ('MESH:D004696', 'Disease') :: ['IE', 'infective endocarditis']
@entity884 :: (MESH:D004696,Disease) :: ['Infective Endocarditis']
