After moving into the new hybrid operating rooms in 2009, the Cleveland Clinic Heart Institute multiplied its utilization of hybrid procedures, requiring additional operating rooms to meet its rapidly increasing volumes. With the successful implementation of the existing hybrid operating rooms, Bostwick Design Partnership was once again engaged to develop the next phase of the Endovascular Suite Expansion on the fourth floor of the Glickman Tower. With further advances in the technology and multi-specialty teaming arrangements, the new operating rooms increased by another 300 SF to a total of 1100 SF per operating room. Each of the two new hybrid operating rooms are amongst the largest in the country, and are designed for optimum flexibility as the Cleveland Clinic leads cardiac services into the future.