Eighteen years in cardiothoracic surgery.
Clarion Surgical LLC is the professional entity through which Lance R. Keck, PA-C, provides cardiothoracic surgery advanced practice services to hospital programs.
Exclusively cardiothoracic surgery practice
Active licensure, with three more in process
Robotic thoracic first assist training, Intuitive Surgical, West Coast
A cardiothoracic practice, not a general one.
Cardiothoracic first assist is a skill built through volume and repetition. Every clinical position held since 2008 has been in cardiothoracic surgery — adult cardiac, thoracic, and the perioperative critical care that surrounds both.
That work has spanned high-volume cardiac and thoracic programs, and includes routine first assist across coronary, valve, and aortic surgery, minimally invasive and robotic thoracic surgery, conduit harvest, and mechanical circulatory support.
Clarion Surgical was formed in Washington State in 2024 and is registered in Texas.
Practice profile.
Clinical focus
Adult cardiac and thoracic surgical first assist, with primary management of postoperative cardiac and thoracic intensive care.
Robotic thoracic surgery
West Coast First Assist Course Chair for Intuitive Surgical since 2018, responsible for the design and delivery of robotic thoracic first assist training.
Licensure
Active physician assistant licensure in Washington, Texas, and Virginia, with North Carolina, Georgia, and Kansas in process.
Assignments
Best suited to planned, scheduled coverage — leave, sabbatical, vacancy bridging, and seasonal volume — where continuity and case familiarity matter.