Starting out in minimally invasive aortic valve replacement in the UK.

Objectives: Here we aim to describe in detail the logical procedure and philosophical approach to establish a minimally access aortic valve replacement programme in the current era.

Methods: A real example of a National Health Service Trust in the United Kingdom has been described in a step-wise manner.

Results: The outcomes of the new procedure established in this fashion are reported and the philosophical lessons learnt from the experiences are highlighted.

[Infective endocarditis caused by Erysipelothrix rhusiopathiae--case report].

Infective endocarditis (IE) is an infectious disease, which leads to death when is untreated. In most cases IE is caused by typical bacteria. IE caused by atypical bacteria is rare.