Cardiothoracic Guidance, One Call Away

Concierge cardiothoracic surgery support service dedicated to elevating patient recovery through seamless pre- and post-operative care. Our nationally certified clinician delivers expert telehealth support, ensuring continuity, clarity, and confidence at every stage. Services are offered for patient or families through transparent, flat-rate packages that make high-level surgical aftercare accessible and affordable—without compromising quality.

Male healthcare worker in scrubs, cap, face mask, and protective glasses giving a thumbs-up in a hospital setting.

About Us:

Our goal as your Virtual Cardiothoracic Surgery Concierge is to deliver a premier level of peri-operative surgical support. Our company is led by Joshua Puig, a nationally certified Physician Assistant, who comes prepared with over eight years of experience in cardiothoracic surgery. Having assisted prestigious surgeons in the operating room and guided hundreds of patients through recovery, our practice brings hospital-grade expertise directly to your fingertips. We provide individualized telehealth consultations, meticulous recovery planning, and attentive follow-up designed to restore confidence and peace of mind. Every detail of care reflects our commitment to excellence, discretion, and compassion—ensuring each patient receives the highest standard of support throughout their surgical journey.

Which condition or diagnosis can we assist you with?

Cardiac Conditions & Procedures

Coronary Artery Disease

  • Coronary artery bypass grafting (CABG)

  • Endoscopic vein harvesting or radial artery harvesting

  • Minimally invasive or robotic CABG

  • Off-pump (beating heart) bypass surgery

  • Hybrid coronary revascularization

Heart Valve Disease

  • Aortic valve stenosis, bicuspid aortic valves, aortic valve regurgitation (aortic valve replacement w/ mechanical or bioprosthetic)

  • Mitral valve regurgitation, mitral valve stenosis, mitral valve repair or replacement

  • Tricuspid valve repair or replacement

  • Minimally invasive or robotic assisted valve surgery

  • Transcatheter valve interventions (TAVR, MitraClip)

Aortic Disease

  • Ascending aortic aneurysm repair or surveillance

  • Aortic root replacement (Bentall, David procedures)

  • Aortic dissection (Type A, Type B)

  • Arch reconstruction / hybrid endovascular aortic repair

Cardiac Arrhythmias

  • Surgical treatment or medication options for atrial fibrillation (Maze procedure, Amiodarone, Ect.)

  • Left atrial appendage clipping

Cardiac Tumors

  • Excision of cardiac myxoma, thrombus evacuation, or other intracardiac masses

Pericardial Disease

  • Pericardiectomy for constrictive pericarditis

  • Pericardial window creation for pericardial effusion

Thoracic Conditions & Procedures

Lung Conditions

  • Lung tumors (adenocarcinomas, carcinoid tumors, small cell carcinomas, granulomas, and more)

  • Lobectomy, segmentectomy, or wedge resection for lung cancer

  • Video-assisted thoracoscopic surgery (VATS) or robotic lung resection

  • Lung biopsy for diagnosis

  • Bullectomy for emphysema or pneumothorax

  • Pleurodesis for recurrent pneumothorax or effusions

Mediastinal & Chest Wall Disorders

  • Resection of mediastinal tumors (e.g., thymoma, cysts)

  • Pectus excavatum or pectus carinatum repair

  • Chest wall reconstruction

Pleural & Diaphragm Conditions

  • Decortication for empyema or trapped lung

  • Diaphragmatic hernia or paralysis repair

Pre and Post-Operative Concerns (patient education)

  • Activity and recovery progress and expectations for patient and families

  • Post-operative complications

  • Care and infection monitoring

  • Chest tube management

  • echocardiogram, EKG, chest xrays, CT scan results

  • Shortness of breath or fluid retention

  • Edema of the legs

  • Heart rhythm irregularities (atrial fibrillation, bradycardia, PVCs)

  • Blood pressure and medication management

  • pain management

  • patient advocacy

  • Referrals to cardiothoracic surgeons with specialized expertise near you

Contact Us

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