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.