healing hearts

the division of

Cardiothoracic Surgery

HEALING HEARTS

Welcome to the Division

of Cardiothoracic Surgery

at NewYork-Presbyterian/

Columbia University

Medical Center

www.columbiaheart.org • 800.5.HEART.2

Table of Contents

Intoduction to Surgery at Columbia . . . . . .1

What are my surgical options? . . . . . . 2

What are the procedures? . . . . . . 5

All About Surgery . . . . .14

What else does Columbia offer cardiac patients? . . . . .18

Resources . . . . .19

Faculty and Staff . . . . . 20

Whether you are considering

the options available for a cardiac surgical

procedure for yourself or a loved one, or if

you’re still searching for a cardiac surgery

program with a level of expertise and

personal service that makes you feel secure,

you’ve come to the right place.

We firmly believe that health is more than

the simple absence of disease. As we perform

the most advanced procedures to treat heart diseases and disorders, we

also run programs focused on prevention and on emotional and spiritual

well-being to promote a supportive and healing environment. Our

surgeons, among the best in the world, are supported by a team of

experts in every field, working together collaboratively to evaluate the

patient and to determine the most appropriate therapies for returning

them to improved health, quality of life, and expectation of longevity.

We realize that even though we have taken care of thousands of people, this

is probably the first time you are considering cardiac care for you or someone

close to you. We have used our experience to anticipate your questions.

What happens in the hospital? What happens at the first appointment?

How do you prepare for surgery? What happens the day of surgery? What

happens after the operation? How long will you be in the hospital? Who will

take care of you when you return home? We have answers. We also know

about information overload. You may find many answers to your questions

at your own pace by visiting “patient experience” at www.columbiaheart.org.

We have also included in this brochure a complete list of our resources that

our outreach coordinator can make available to you.

Craig R. Smith, MD, FACS

Interim Chairman, Department of Surgery

Calvin F. Barber Professor of Surgery

Chief, Division of Cardiothoracic Surgery

division of cardiothoracic surgery 1

2 www.columbiaheart.org • 800.5.HEART.2

WHAT ARE MY SURGICAL OPTIONS?

The most advanced surgical treatmentsfor every type of cardiac disease areavailable at Columbia. We are continuallyin the process of improving surgicalprocedures to make them safer whiledeveloping new procedures. Weroutinely apply advanced techniquessuch as minimally invasive and roboticsurgery, and regularly collaborate withour interventional cardiology colleaguesso that we can hold all options at theready depending on the patient’s needs.

We also have several advancedrecovery and prevention programs,including the Columbia IntegrativeMedicine Program, offering a varietyof mind-body techniques and somatictherapies to help patients navigatetheir surgery and recovery, as well asto incorporate well-being into theirlives after surgery.

The U.S. News & WorldReport America‘s BestHospitals survey has rankedNewYork-PresbyterianHospital‘s cardiac programin the top 10 for seven yearsrunning. It is the onlyprogram in the New Yorkregion ever to have madethe top 10.

Snapshot of cardiacprocedures at Columbiaduring 2006

Total adult proceduresperformed: 1,237


Open Heart SurgeryColumbia is a world leader in thedevelopment of traditional openheart surgery and has developed manyspecialized procedures that are inroutine use around the world today.

Cardiac surgeons at Columbia successfullyconduct open heart surgery operationson patients with multiple risk factorswho often cannot find care elsewhere,including patients who have had previousheart operations, strokes, kidney disease,or who are at risk due to advanced age.

Minimally Invasive SurgeryMany procedures traditionally done through large chest incisions cannow be performed via “closed” procedures with minimally invasivetechniques. Minimally invasive surgery involves special surgical instru-ments including miniature cameras that are guided through tiny incisions.Advantages ofminimally invasivesurgery typicallyinclude fasterrecovery, lesspost-operativepain, reduced riskof infection, anda better cosmeticoutcome.

Successfully managingpotential risks in cardiacsurgery patients with chronicdisease is our expertise. In2006, 22% of our patientswere diabetics at high risk forcomplications, and 76% ofour patients were at overallhigh risk for complications.Even with these complexities,length of postoperativestay in the hospital has notsignificantly increased.

Number of mimimally invasivecardiac surgery procedures at Columbia

Surgeon-scientists at Columbia have been instrumental in thedevelopment of numerous technologies and techniques forperforming minimally invasive cardiac procedures, including theMitraClip™ (to repair the mitral valve) and new techniques for repairingor implanting a heart valve with catheters threaded through the bloodvessels instead of via incision. Columbia surgeons perform the fullrange of least-invasive mitral, aortic, and bypass surgeries available inthe world today and continue to lead the charge for even less traumaticsolutions to heart disease. Moreover, Columbia is one of the nation’spremier training centers for minimally invasive surgery.

Robotic Cardiac SurgeryColumbia’s cardiac surgeons are among the most experienced in thenation in robotic cardiac surgery. A series of historic robotic operationshave been pioneered at Columbia, including coronary bypass, mitral valverepair, correction of heart defects, and regulation of abnormal heartbeats.Robotic surgery, in which the surgeon manipulates the robot via a consolein the operating room, utilizes the techniques of minimally invasivesurgery, benefiting from all of its advantages plus added precision andspecial articulations and manipulations not possible with a human hand.

Interventional CardiologyInterventional cardiac procedures are performed through the bloodvessels (percutaneously) by means of a tube called a catheter. Thephysician guides tiny instruments through the catheter to open blockedvessels, install stents to prevent restenosis (coronary artery blockage),control cardiac arrhythmias, and to repair and replace damaged valves.

We collaborate with our Columbia interventional cardiology colleaguesto offer this alternative to surgery to all patients who can benefit from it.Several of our cardiac surgeons are trained in interventional cardiologytechniques. As a result, we can satisfy the needs of patients who requireone or the other, or both options simultaneously, in one operation.


WHAT ARE THE PROCEDURES?You and your surgeon determine which surgical procedure is best for youbased on your cardiac condition and your general health.


COURTESY OF EMMI ™

Superior Vena Cava

Ascending Aorta

Tricuspid Valve

Inferior Vena CavaMitral Valve

Aortic Valve

Pulmonary Valve

Pulmonary Artery

Aiding the Heart’s VesselsBypass SurgeryThe heart’s muscle needs blood just like the rest of the body, and whena vessel bringing blood to the heart is blocked, a coronary artery bypassgraft, or CABG, circumvents that blockage through attachment of a vesselthat reroutes blood to the heart muscle. Columbia surgeons use multipletechniques to perform CABG, including open heart surgery and minimallyinvasive surgery, depending on the patient’s needs.

Columbia surgeons perform 50% percent of CABG operations “off-pump,” meaning that the heart is not stopped, and use of a heart-lungmachine to pump blood through the body during the procedure is notrequired. In off-pump coronary artery bypass grafting, known also asOPCAB, the surgeon restrains small areas of the beating heart to sewon the new vessel. Off-pump surgery lessens the risk of bleeding, reduceshospital stay, and may facilitate a significantly faster recovery.

The leg veins are often used in concert with the internalmammary artery (chest wall artery) to create the grafted vessel.These veins are removed by minimallyinvasive techniques to preserve theintegrity of the vessel and minimizepost-operative discomfort in thelower extremities.

Repair of the AortaThe aorta, the largest artery in thebody, receives oxygenated blood fromthe left ventricle and distributes it tothe body. The aortic root, containingthe aortic valve, is where the aortaexits the left ventricle. It gives rise tothe arteries supplying blood to theheart muscle itself. The aorta thenascends for about five centimeters,forms an arch, and then descendsdownward to the lower body. Vessels

Vessels grafted from the base of theaorta onto the heart


Mortality for coronaryartery bypass operations atColumbia is consistently belowthe national average for U.S.academic medical centers.*

to the brain and arms branch off fromthe arch; vessels feeding blood tothe lower half of the body branchoff of the descending section belowthe diaphragm. The aorta is subjectto aneurysms (weakenings), anddissections (tears), both of whichcan be life-threatening.

Conducted with minimally invasivetechniques whenever possible,approaches to repairing the aortainclude replacement of the aorticroot, reconstruction of the aorticarch, replacement of a portion orthe entire thoracic aorta, or insertionof an endovascular stent graft(consisting of a stiff mesh tube),which provides “scaffolding” supportfor the artery.

Mortality for aortic valvereplacement at Columbia isconsistently below the nationalaverage for U.S. academicmedical centers.*

• • • • • • • • • •

For aortic aneurysm repair,modern techniques makeit possible to replace theaorta without harming thenative valve. Columbia is anational leader in thesevalve-sparing operations.Our volume of these proce-dures more than doubledover the last two years.

Number of aortic procedures at Columbia


The Heart’s Gateways: Valve Repair and ReplacementThe heart’s four valves, which open and close alternately with eachheartbeat, are made of thin leaflets that prevent blood from flowingbackward while permitting blood to flow forward. Valvular disease hasa variety of causes, including coronary artery disease, advanced age,congenital defects, and infection. It involves two scenarios: Whena valve is leaky because it fails to close properly (prolapse), there isregurgitation or backflow of blood; when a valve fails to open properlybecause it is tightened or narrowed (stenosis), blood cannot flowforward. In both cases, the heart strains to pump enough blood tothe body, eventually causing heart muscle damage.

To treat valvular disease, Columbia surgeons use either open or minimallyinvasive techniques to repair the patient’s own valve, or replace that valvewith a tissue or mechanical substitute. Because blood tends to clot whenit comes in contact with mechanical valves, their implantation requires

patients to take blood-thinning medicinesfor the rest of their lives. Decisions aboutwhat type of valve to use in a replacementare based on the severity of symptomsand other considerations, such as ageand whether or not the patient is usingblood-thinning medication.

Ross ProcedureIn the Ross procedure, the diseasedaortic valve is removed and replacedwith the patient’s own pulmonary valve.Columbia is one of the few institutionsin the world that performs the proce-dure. By using a native tissue valve,the operation avoids need for bloodthinners, decreases risk of infection,and in children, eliminates the need for

a replacement valve in 7-10 years. Thesebenefits mean the procedure is particularlyappropriate for children, young adults,women who wish to become pregnant,and for active patients who do not wishto take blood thinners.

Columbia is the nationalleader in conducting beating-heart valve repair andreplacement procedures.• • • • • • • • • •

During 2002-2006 thevolume of Columbia’s valveprocedures increased bymore than 50%.• • • • • • • • • •

Columbia conducts themost percutaneous aorticvalve operations in theregion, procedures in whichthe valve is changed withoutstopping the heart oropening the chest.• • • • • • • • • •

Mortality for mitral valverepair at Columbia isconsistently below theaverage for U.S. academicmedical centers.*


Mitral Valve SurgeryThe mitral valve separates the left atrium from the left ventricle and regulatesthe flow of blood between these two chambers. In the condition known asmitral valve regurgitation, the valve leaks, resulting in backward flow throughthe valve, causing strain or overload on the left ventricle. The condition isalmost always treated with valve repair rather than replacement, and in mostcases patients resume a normal life, without need for blood thinners or otherinterventional therapies associated with valve replacement.

At Columbia, our surgeons now treat mitral valve regurgitation with anextremely effective, minimally invasive approach known as the “bow-tie”procedure, involving a tiny grasping tool developed by a Columbia surgeon.The bow-tie technique uses a single stitch to join the two leaflets of thevalve. The valve can still open on both sides of the stitch, allowing adequateblood flow through the valve.

Pioneering TranscatheterValve ProceduresSurgeon-scientists and interventionalcardiologists at Columbia are currentlyinvestigating the potential of a non-invasiveprocedure for mitral valve repair known asthe Evalve® Cardiovascular Valve RepairSystem. Passing a catheter through theblood vessels, the procedure involvesplacement of a tiny clip that binds thevalve’s leaflets together where they meet. Theheart beats normally throughout the proce-dure while the patient remains under generalanesthesia. Usually, patients can leave thehospital within 48 hours with just an adhesivebandage where the catheter was placed.

Columbia was one of the first institutionsin the U.S. to conduct percutaneous tran-scatheter heart valve insertion, in 2006.During this procedure, a catheter is advancedthrough the femoral artery – or through thechest wall and left ventricle – to the aorticvalve, where a tissue valve with metal stentscaffolding is positioned and deployed.


CO

UR

TESY

OF

EVA

LVE

®

Positioning of Evalve clip overheart valve

Leaking heart valve before clipis placed

Procedure completed, clip inplace, and leaking resolved

X-ray guidance provides visualization. The force of the expanding stentanchors the new valve in place, completely avoiding the need forsutures, cardiopulmonary bypass, open surgery – and theirassociated effects.

Heart RateAtrial fibrillation (AF) is a form ofarrhythmia, or irregular heartbeat,in which the two small upper chambersof the heart (the atria) quiver insteadof beating effectively. It may betreated by electrically scarring theatria or the pulmonary vessels at thepoint where they leave the heart, orby use of a pacemaker.

The Maze ProcedureThis procedure treats atrial fibrillation by interrupting the electricalimpulses that cause abnormal heart rhythm. The surgery typicallyinvolves the placement of incisions in both atria. When the incisionsheal, scar tissue forms and prevents abnormal electrical impulses frompassing through the heart.

Surgical Atrial Fibrillation AblationSurgeons at Columbia have developed a modification of the Mazeprocedure known as surgical atrial fibrillation ablation (SAFA). Theprocedure involves use of an energy source, such as radiofrequency,microwave, or laser, to create a limited number of scars in the leftatrium, avoiding the need for multiple incisions in the heart. SAFA ismost commonly performed in conjunction with other cardiac procedures,such as valve repair or coronary bypass, but is now offered as a procedureon its own.

The Columbia team has developed a totally endoscopic, beating heartversion of SAFA. In this minimally invasive, robotically performed operation,the ablation is achieved through small puncture wounds in the chest,without stopping the heart or use of the heart-lung machine.


With atrial fibrillation (AF)surgery proving its effec-tiveness, Columbia isconducting more and moreof these procedures. Our“lone” AF (not conductedas part of another proce-dure) volume more thantripled from 2003-2006.

The Heart Muscle and Heart FailureHeart failure occurs when one or more of the heart’s chambers areunable to pump enough blood to meet the body’s needs. Somecases of heart failure can be managed medically, while others must berepaired surgically or treated with mechanical circulatory support devicesor heart transplantation.

Adult Congenital Heart DiseaseAs innovations have dramaticallyimproved the prognosis for children withcongenital heart disease, surviving adultsnow require special attention for a broadrange of problems. These may includethe need to revise a childhood repair of atrial and ventricular septal defects(holes in the walls separating the upper and lower chambers of the heart).Adults may also develop new lesions superimposed on an early repair.Newly recognized congenital heart defects and complex arrhythmias alsorequire surgical attention.

These defects can prevent the heart from pumping enough blood tomeet the body’s needs and may cause serious pulmonary problems dueto the lungs being overloaded with blood flow (pulmonary hypertension).The main symptom of this condition isshortness of breath while at rest.

Cardiac Assist DevicesColumbia is a pioneer inthe use of cardiac assistdevices, also known asventricular assist devices(VADs), in the mechani-cal management ofcongestive heart failureas both “bridge totransplant,” supportingindividuals waiting fora donor heart, and as“destination therapy”

Columbia surgeonsperformed the firstrobotically-assisted atrialseptal defect repair in 2001.


Aorta

ExternalBattery Pack

Skin Line

SystemController

Heart

Vent Adapterand Vent Filter

LVAD

Left batteryomitted for clarity

LVAD Anatomy

for end-stage heart failurepatients who are not candidatesfor transplantation.

The left ventricular assist device(LVAD) is designed to take over thefunction of the heart‘s left ventricle,which delivers oxygenated bloodfrom the heart to the body and brain.

Columbia also offers a new mechanicalapproach to heart failure, known as bi-ventricular pacing (BIVAD), orcardiac resynchronization therapy (CRT). This therapy is especially helpfulto heart failure patients suffering from desynchronization of the leftand right ventricles arising from dysfunction of the heart’s electricalconduction system.

Heart TransplantationHeart transplantation is the surgical placement of a healthy heart froma human donor into the body of a person whose own heart is failing.A heart transplant is performed when a heart condition cannot be treatedby any other medical or surgical means.

Since the middle of the twentieth century, Columbia has been at theforefront of research that led to the development of safe and successfulcardiac transplantation. The first in the world to perform a successfulpediatric heart transplant in 1984, Columbia continues to lead in bothresearch and clinical care for heart transplant patients.


Columbia was the first center inthe region to use LVADs, and stillperforms the most heart transplantsin the country.

• • • • • • • • • • • • • • •

Columbia’s five-year survival afterprimary heart transplant is 81%.

The Other HeartWhile we promote health by treating the heart muscle that pumpsblood, we are also deeply concerned with well-being, in terms ofthe other heart – the one that houses the soul and the emotions. TheColumbia Integrative Medicine Program, founded by a Columbia heartsurgeon, offers many therapies to patients undergoing cardiac surgery,including relaxation skills training and stress management, massage/somatic therapy (such as cranio-sacral therapy and shiatsu), health-riskreduction counseling, guided imagery and self-hypnosis, mindfulnessmeditation, cardiac yoga and stretching, and family caregiver support.The Columbia Integrative Medicine Program is a leader of scientificresearch in this field, conducting ongoing studies on the benefits ofalternative therapies for surgery patients.


Over 95% of our cardiacsurgery patients takeadvantage of integrative andalternative medicine services.The nationally recognizedColumbia IntegrativeMedicine Program runs arobust scientific researchprogram investigating theeffectiveness of these thera-pies for cardiac patients.

ALL ABOUT SURGERY

Your Cardiac Care TeamOnce you and your cardiac surgeon have consulted about your surgicalprocedure, you will be introduced to your cardiac team, all of whom worktogether to care for you before, during, and after surgery. Team members

include your surgeon, a cardiologist, aphysician assistant, an anesthesiologist,nurses, an outreach coordinator,pulmonary and physical therapists,and a social worker.

Columbia adult cardiac surgeons (L-R): Michael Argenziano, MD,Mathew R. Williams, MD, Yoshifumi Naka, MD, PhD, Henry M. Spotnitz,MD, Craig R. Smith, MD, Mehmet C. Oz, MD, Allan S. Stewart, MD

The NewYork-PresbyterianHospital cardiac surgeryprogram was number onein the 2006 New YorkMagazine/Castle ConnollyBest Hospitals survey.


Diane B. Amato, Division Administrator and outreachcoordinator for Division Chief, Craig R. Smith, MD

One-on-One AttentionEvery person choosing Columbia for heart surgery receives individualsupport from the cardiac outreach coordinator. Guiding you throughthe specifics of your medical treatment, our outreach coordinatorintroduces you to the surgical, recovery and rehabilitation stages ofcardiac treatment, gives you the educational materials you need, anddirects you to classes.

Meanwhile, our cardiac surgeryadministrator, who has more than 30years experience working in medicalpractices, sees to it that every personchoosing Columbia for heart surgeryreceives personal attention and hastheir needs met. “We‘re here to helpwith logistics of every kind,” she says.She and her staff strive to providethe best quality care to all patientsentering our state-of-the-art facility,addressing patients’ needs with asmile and word of encouragement.

Both are always just a phone call awayto answer your questions and addressyour concerns.

What Will My Hospital Stay Be Like?The cardiac outreach coordinator will give you the information you need,from what to wear to where to go. Preparing for recovery is an importantpart of getting ready for surgery. You and your family will be encouragedto attend our open heart surgery discharge classes in nutrition, stressmanagement, care at home, and physical exercise during your post-operative stay. We also offer a class specifically for family caregivers.


Lisa Mainieri, MPH, MSW,Cardiac Outreach Coordinator

A Note on the Post-OperativePeriod: Emotional HealthDepression and anxiety arewell-documented amongpost-operative open heartsurgery patients. While thesesymptoms are normal, treatableand transient, they can becomebarriers to recovery. Viewingemotional health as a criticalpart of the healing process,we hold an ongoing supportgroup led by experienced

social workers to help transport patients and families to full recovery.Consisting of one hour of education and one hour of support, the group’smeetings take place on the second Tuesday of every month.

What Happens After I Go Home?Consistent follow-up insures the success of your operation. We helpset up appropriate education and, if needed, cardiac rehabilitation,before you leave the hospital. Within a week or two of your operation,you will see your regular cardiologist for ongoing care. Four to sixweeks post-operatively, you will return to Columbia for your surgeryfollow-up visit.


Rehabilitation Programs at ColumbiaWhen surgery is complete, rehabilitation and then secondary preventiontake over. We offer several rehabilitation and prevention programs, whichare described at the end of this brochure.

What Are the Advantages of a Teaching Hospital?As one of the world’s leading teaching and research hospitals, Columbiahas led the world in developing many treatments. We are continuallypioneering new clinical approaches to cardiac care through research.If you have a condition that fits the criteria to participate in a clinical trial,you will be offered an opportunity to participate, although participationis always voluntary.

Columbia surgeons, who not only practice, but teach as well, must beinformed of the newest findings, the most up-to-date information, andthe best practices.

Our surgeons and cardiology colleagues are among the best in theworld. This means they are often able to provide patients with complex,multiple and/or rare illnesses with care unavailable at other hospitals.NewYork-Presbyterian/Columbia has experts in every clinical area.The Cardiac SurgeryProgram regularly drawsupon their expertisein its commitment toproviding care forthe whole patient.


WHAT ELSE DOES COLUMBIAOFFER CARDIAC PATIENTS?

• If a member of your family is having heart surgery at Columbia, wewant to make sure you’re healthy too. The PASSPORT to Heart Healthprogram offers free screening to relatives of people having surgeryat Columbia and serves as a national model for comprehensiveheart care. For more information, call 212.305.4255 or go towww.hearthealthtimes.com.

• The Columbia Center for Heart Disease Prevention is a specializedmedical service for patients who would like to reduce their risk factorsfor heart disease and improve their lifestyle. For more information, call212.305.4866 or go to www.hearthealthtimes.com.

• CHEC—the Cardiovascular Health Education Center—is a resourcecenter for patients, families, and health care professionals, providingwritten materials, patient and family educational classes and seminars,as well as access to interdisciplinary programs and resources at Columbia.For more information, call 212.305.1493 or visit www.nyp.org/chec.

• NewYork-Presbyterian Hospital provides inpatient and outpatientcardiac rehabilitation services. For more information, go towww.nyprehabmed.org.For outpatient appointments, call 212.305.4695.

• The Schneeweiss Center for Adult Congenital Heart Disease caresfor patients who have had cardiac surgery earlier in life and those withnewly diagnosed congenital heart disease. For more information, call212.305.6936 or visit www.columbiaheart.org.

• Pediatric cardiac surgery—Columbia performs 40% of New York State’spediatric cardiac surgery. To learn more about pediatric cardiac surgeryat Columbia, call 212.305.5975 or visit www.pedsheartmd.org.


RESOURCES

Books by Columbia cardiac surgery faculty:

Deng, Mario C., MD, and Yoshifumi Naka, MD, PhDMechanical Circulatory Support Therapy in Advanced Heart Failure

Oz, Mehmet C., MD, and Michael F. Roizen, MDYOU—ON A DIET: The Owner’s Manual for Waist Management

Oz, Mehmet C., MD, and Michael F. Roizen, MDYOU—THE SMART PATIENT: An Insider‘s Handbook for Getting theBest Treatment

Oz, Mehmet C., MD, and Michael F. Roizen, MDYOU—THE OWNER’S MANUAL: An Insider’s Guide to the Body thatWill Make You Healthier and Younger

Oz, Mehmet C., MDHEALING FROM THE HEART: A Leading Heart Surgeon Explores thePower of Complementary Medicine

Rose, Eric A., MDSECOND OPINION: The Columbia Presbyterian Guide to Surgery

Weil, Andrew, MD, Erin Olivo, PhD, MPH, Steven Devries, MD, MartinRossman, MDTHE HEALTHY HEART KIT: Keeping Your Heart Healthy for Life – AComplete Integrative Medical Program

Other Resources:• Emmi™ – Short for expectation management and medical information,

Emmi is an online patient education program designed to help patientsbecome better educated before medical or surgical procedures. Packedwith detailed illustrations, the program provides thorough, easily under-standable explanations of dozens of procedures. Access Emmi atwww.emmidemo.com.

• Surgical Breakthroughs from Discovery to Delivery, the Progress Reportof the Columbia University Department of Surgery

• www.columbiaheart.org • www.columbiasurgery.org • www.nyp.org


ADULT CARDIAC SURGEONSCraig R. Smith, MDMichael Argenziano, MDYoshifumi Naka, MD, PhDMehmet C. Oz, MDEric A. Rose, MDHenry M. Spotnitz, MDAllan S. Stewart, MDMathew R. Williams, MD

PEDIATRIC CARDIAC SURGEONSJonathan M. Chen, MDRalph S. Mosca, MDJan M. Quaegebeur, MD

LVAD PROGRAMKatherine Idrissi, MSNMargaret Flannery, FNPJennifer Murphy, NPBeth Panoff, FNPRosie Te-Frey, NP

CARDIAC OUTREACHAND EDUCATION

Diane B. AmatoLisa Mainieri, MPH, MSW

CARDIOPULMONARYPHYSICAL THERAPY

Lori Buck, MA, PT, CCSTheresa Morrone, MS, PT, CCSDenise Vilotijevic, MS, PT, CCSDavid Zemmel, MS, PT

CARDIAC SOCIAL WORKERSStephen Moore, LCSWAlice Riley, LCSW-R

PHYSICIAN ASSISTANTSLaura Altman PA-CNicolas Astras, PA-CEric Beninghof, PA-CJennifer Bricker, PA-CTom Cosola, PA-CJoseph Costa, PA-CKathleen Garcia, PA-CGeorge Gibbons, PA-CLuisa Godoy, PA-CJonathan Halasan, PA-CThomas Hickey, PA-CSteve Kantor, PA-CVanessa Lluch, PA-CErin Logan, PA-CAllan Mariano, PA-CKevin McGill, PA-CChristina Milizia, PA-CDebra Savarese, PA-CTianna Umann, PA-CDavide Volpe, PA-C

PATIENT CARE DIRECTORSAngel Angeles, RNElenita Ramos, RN

INTEGRATIVE MEDICINE PROGRAM

Mehmet C. Oz, MD, Founder andMedical DirectorErin L. Olivo, PhD, MPH, Director


FACULTY AND STAFF

* University Health System Consortium, an alliance of 97 academic medical centers and 149 of theiraffiliated hospitals representing nearly 90% of the nation’s non-profit academic medical centers

We are located at:

Division of Cardiothoracic Surgery

Milstein Hospital Building 7-435 GN

177 Fort Washington Avenue

New York, NY 10032

PS 128

PostOffice

173rd St.

172nd St.

171st St.

170th St.

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Visitor Parking

The MilsteinHospital Building

Contact Us:

For further information, please call 800.5.HEART.2.

To learn more about the Division of Cardiothoracic Surgery,its clinical trials, and cardiac surgery at Columbia in general,please go to: www.columbiaheart.org

CONTACT US:Patient Referrals: 800.5.HEART.2

Physicians requesting emergency patient transferplease call: 800.NYP.STAT

healing hearts

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