Surgical treatment of active XXXX .

@entity1 @entity712 @entity794 @entity281 @entity86 @entity299 @entity47 @entity340 @entity3555 @entity884
A review is presented of 20 @entity1 consecutively operated on for acute @entity340 . The diagnosis was established from at least two of the criteria: (a) typical clinical features, (b) two blood cultures positive for the same causal microorganism, and (c) echocardiographic evidence of @entity47 . In all cases there was histologic evidence of active @entity281 in the surgical specimen. Only three of the 20 @entity1 had no previous @entity299 . The most common causal agent was @entity794 . The indications for surgery were @entity712 or @entity281 (18 and 2 cases, respectively). Aortic valve replacement was performed in 16 of the 20 cases, suggesting that aortic valvulopathy aggravates the course of @entity884 and increases the risk of @entity712 . The overall mortality rate was 30%. All surviving @entity1 were @entity86 follow-up. Surgery is considered to be the management of choice in active valvular, therapy-resistant @entity3555 with or without @entity712 .
