 He began playing at the age of nine, and in 2002, became the youngest person to win the National Accordion Championship.He most recently won the 2011 Primus Ikaalinen World Championship and was the first ever American contestant.Additionally, Pesaturo won the Coupe Mondiale World Digital Accordion Championship in Auckland, New Zealand, and became the first American to win a World Accordion Championship since Peter Soave 25 years earlier.