Cardiothoracic Surgical Associates of New York, P.C. was founded in 1976 with the reputation for delivering state of the art medical and surgical care in cardiac, thoracic and vascular surgery. We have placed among the best in New York State for outcome of our surgical procedures.Our internationally and nationally recognized group is committed to delivering the clinical care , with advanced medical and scientific techniques, to all our patients. Specializing in state of the art procedures for valvular and coronary disease and complex thoracic and esophageal disorders, the group utilizes advanced techniques such as off pump bypass, laser revasculaization, minimally invasive and robotic techniques and radiofrequency ablation of atrial fibrillation.

Cardiothoracic Surgical Associates of New York, P.C. (CSA)  patients have a  full range of cardiac conditions, including:

• Coronary Bypass

• Off Pump Beating Heart Surgery

• Minimally Invasive Techniques

• Robotic Surgery

• TMR Laser

• Valve Repair and Replacement

• Hypertension

• Cholesterol & Other Lipid Disorders

• Angina & Other Coronary Diseases

• Arrhythmias

• Congestive Heart Failure

Patients are seen by referral from other physicians, as well as by self-referral, where permitted by their insurance plans.  CSA participates as a  cardiologist with many insurance plans, visit our office policies page to view a list of participating plans.

Our facility is fully equipped with all non-invasive testing techniques, including:

• Electrocardiogram

• Contrast Echocardiogram

• EKG

• 24-Hour Holter Monitoring

• Exercise Stress Echocardiogram

• Exercise Treadmill Stress Testing

• Pacemaker Reprogramming

Our entire staff provides personal and attentive care in a responsive professional environment, we treat your concerns in a supportive and confidential setting.

Understanding Your Heart

Your heart is a muscular pump about the size of your fist and its primary function is to pump oxygenated blood to the rest of the body. It is made up of four chambers, the right and left atria on the top, and the right and left ventricles on the bottom. The septum is a thin muscular wall that separates the right and left sides of the heart. Each contraction of the heart occurs in response to an electrical impulse that originates in the upper portion of the heart. Blood is moved in a closed circuit through the body by the pumping of the heart. The heart contracts and pumps blood out to the body (systole) and relaxes to fill with more blood (diastole).

The heart muscle itself is like all other organs in the body and requires oxygen to function. The oxygen-rich blood is circulated to the heart muscle through the coronary arteries. There are two main arteries: the right coronary artery and the left main coronary artery, both originating from the aorta (the main blood vessel of the body). These vessels then branch off into smaller and smaller vessels along the surface of the heart.

In studying and testing the heart, it is important to understand which system in the heart is having problems:

• Electrophysiology
  - Is the conduction system (the wiring) in the heart following the normal pathway?
• Coronary Circulation
   - Is the heart muscle getting adequate blood supply and oxygen through the coronary arteries (the plumbing)?
• Cardiac Contractility
   - Is the pumping function of the heart muscle capable of circulating blood to the rest of the body?