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Tall Rounds®

A distinctive online educational program for medical professionals from Cleveland Clinic’s Sydell and Arnold Miller Family Heart & Vascular Institute experts.

Here’s Your Exclusive Access to Lively Case-based Learning

Enrich your everyday practice through these lively case-based, decision-making discussions from the nation’s No. 1 Cardiology & Heart Surgery program* in the U.S. You’ll receive exclusive updates on the next Tall Rounds series.


Watch the latest semester of Tall Rounds:

Jerry Estep, MD

Heart Failure with Preserved Ejection Fraction: Old Challenges, New Advances

Dr. Wilson Tang, staff cardiologist in the Section of Heart Failure and Transplantation at Cleveland Clinic leads a Tall Rounds on the topic of Heart Failure with Preserved Ejection Fraction (HFpEF), old challenges and new advances.   Discussion includes novel approaches such as defining subtypes with phenomapping; diagnostics with advanced imaging and testing; and innovative therapeutic approaches.  New strategies provide potential for better outcomes for this prevalent but challenging patient population.
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Jerry Estep, MD

CCF Cardiogenic Shock Team Initiatives

Jerry Estep, MD, Section Head of Heart Failure and Transplantation at Cleveland Clinic leads a Tall Rounds on the topic of Cardiogenic Shock, focusing on the team approach that is required to provide optimal care.  After a case presentation, cardiogenic shock is defined including lessons learned from the SHOCK trial and classifications of shock impact on treatment and outcomes, percutaneous device options, surgical mechanical circulatory support (MCS), and MCS options in AMI and non-AMI patients. This is followed by a description of the Cleveland Clinic SHOCK team approach and questions and answers from the audience.
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Gosta Pettersson, MD, PhD

Lifelong Care for Endocarditis

Gosta Pettersson, MD,  staff cardiovascular surgeon and Director of the Endocarditis Center presents a multidisciplinary Tall Rounds on the topic of Treatment of Infective Endocarditis (IE), particularly those who have opioid use disorder (OUD) .  After a case presentation, a team of specialists discuss the overall problem of opioid abuse and how this is impacting medical surgical IE patients at Cleveland Clinic, guidelines for outpatient parenteral antimicrobial therapy (OPAT), when heart surgery should be considered, the role of catheter debulking, medical addiction therapy and lessons learned, outcomes of the Continuum of Care OUD-IE-MAT – Post Acute Care Program, and future steps.  This program ends with the story of one of our patients who describes her experience and personal journey.
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Gosta Pettersson, MD, PhD

Approaches to Left Atrial Appendage & Occlusion

Walid Saliba, MD, Director of the Cleveland Clinic’s Center for Atrial Fibrillation provides an update to the treatment of left atrial appendage.   After a case presentation, imaging techniques are discussed when evaluating left atrial appendage and clot management, followed by management of left atrial appendage during surgical procedures, and the Cleveland Clinic experience including concomitant procedures of left atrial appendage occlusion during transcatheter valve replacement and atrial fibrillation ablation.  This is followed by a lively panel discussion commenting on research, challenges and controversies. 
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Gosta Pettersson, MD, PhD

Management of Congenitally Corrected Transposition of the Great Arteries

Hani Najm, MD, Chair of Pediatric and Congenital Heart Surgery at Cleveland Clinic presents Tall Rounds on the management of congenitally corrected transposition of the great arteries (CCTGA).  After a case presentation, a multidisciplinary team presents the types of imaging modalities used to diagnose and assess CCTGA and the various approaches to treatment based on the findings – from prevention of sudden death to interventional techniques, surgery (including fetal interventions), and ventricular assist devices, followed by the Cleveland Clinic experience and discussion. 
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Gosta Pettersson, MD, PhD

Coronary Revascularization in High Risk Patients

Mouin Abdallah, MD, Medical Director of the Coronary Artery Disease Center at Cleveland Clinic presents Tall Rounds on the mulitdiciplinary approach to high risk patients who require coronary revascularization.  Patients who are high risk requiring revascularization include patients who have difficult anatomy, patients who have poor heart function and require circulatory support, and patients who have comorbidities such as end stage renal disease, with severe coronary disease.  After a case presentation, Cleveland Clinic experts present the Cleveland Clinic approach to these high risk patients.
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Gosta Pettersson, MD, PhD

Multidisciplinary management of Acute Type B Aortic Dissection

Lee Kirksey, MD presents a case presentation is followed by a presentations covering triage and management in the ICU, optimal imaging techniques, of pathogenesis, presentation and medical management; diagnostic testing including echo, MRI and PET; new dissection classification guidelines from SVS/STS and lessons learned by the International Registry of Acute Aortic Dissection (IRAD).
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Gosta Pettersson, MD, PhD

Mesenteric Ischemia after Open Heart Surgery

Gosta Pettersson, MD, PhD, leads the presentation and discussion about mesenteric or bowel ischemia after heart surgery, an uncommon but serious complication. A rapid team response and approach is critical to providing the patient with the best chance for good outcomes. Specialists from vascular surgery, intensive care, general surgery, colorectal surgery and gastroenterology come together to present this topic followed by a lively discussion.
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Dr. Eric Roselli

Rescue from Complications after Transcatheter Procedures

Eric Roselli MD, Chief of Adult Cardiac Surgery leads the presentation and discussion of interventional and surgical rescue techniques for complications after the placement of various endovascular devices, including abdominal endovascular repair (EVAR), electrophysiology procedures, thoracic endovascular surgery (TEVAR), and transcatheter aortic valve replacement (TAVR).
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Treatment of Bicuspid Aortic Valve Disease

Eric Roselli MD, Director of the Aorta Center at Cleveland Clinic leads the discussion on treatment of bicuspid aortic valve (BAV) disease.  A case presentation is followed by a presentation of embryology and genetics of bicuspid aortic valve, clinical presentation of BAV disease, key factors in multi-modality imaging, surgical approaches to bicuspid aortic valve with aneurysms, and minimally invasive surgical and transcatheter options.
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The Multi-disciplinary Approach to Chest Wall Disease:
Focus on Malignancies

Daniel Raymond, MD, Director of the Center for Chest Wall Disease at Cleveland Clinic leads the discussion on the team approach to malignancies. A case presentation is followed by presentations on post radiation sarcoma, post-transplant cancer, radiation treatment options, and surgical options for chest wall tumors including chest wall resection and reconstruction.
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Bridging the Gap Between Digital Health and Clinical Practice

Khaldoun Tarakji, MD, MPH, Director of the Center for Digital Health Technologies at Cleveland Clinic presents a case presentation and live virtual visit, followed by a discussion of the role of new technologies in electrophysiology, cardiac rehabilitation, and sports cardiology followed by a discussion of the benefits and challenges of technology.
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Preventive Cardiology and Rehabilitation

Dr. Leslie Cho, Section Head Preventive Cardiology and Rehabilitation and Director of the Women’s Cardiovascular Center at Cleveland Clinic presents a case presentation followed by presentations regarding the latest in research and clinical care by experts in exercise, hypertension, lipids, and women’s cardiovascular health. Discussion includes topics such as HDL, ldl particles, HTN, exercise in the elderly, and more.
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Complex Percutaneous Coronary Interventions

Dr. Mouin Abdallah, Co-Director of the Center for Complex Coronary Interventions leads the discussion on various techniques of revascularization such as valvular heart disease updates, high risk intervention with mechanical support; brachytherapy for restenosis; total coronary occlusion treatment and interesting data regarding long term outcomes after DES. This is followed by a lively question and answer period.
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Evaluation for Myocardial Viability Prior to Revascularization

Wael Jaber, M.D., FACC, FESC leads the discussion on evaluation of myocardial viability prior to revascularization. After a case presentation, experts discuss various imaging techniques to assess viability and how these tests factor in to who would likely benefit from revascularization; followed by a lively question and answer period.
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ECMO in the Adult Patient

Edward Soltesz, MD, Surgical Director of the Kaufman Center for Heart Failure and Recovery, leads the discussion. Following a case study, experts from heart failure, surgery, and the cath lab provide insight into how ECMO is initiated and utilized in a variety of settings and outcomes of this treatment strategy, followed by discussion.
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Cardiac Amyloidosis

Mazen Hanna, MD, co-director of Cleveland Clinic’s Amyloidosis Center, leads the discussion. Following a case study, experts provide insight into pathophysiology of amyloid, pros and cons of various diagnostic testing strategies, an algorithmic approach to diagnosis, advanced treatment options, followed by discussion.
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Getting to the Root of Thoracic Aneurysms

Eric Roselli, MD, Director of the Aorta Center, presents the discussion highlights. Beginning with a case presentation, specialists will provide short presentations on aortic root anatomy, echocardiography, tomographic imaging considerations, ideal time to operate and operative considerations; followed by a discussion.
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Upcoming Topics:

  • Cardiac Sarcoidosis: Systematic Team Approach to Diagnosis and Management

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