[Verse 1] When truncus comes, it's never alone Six friends that tag along, make themselves known VSD's the first, always there to stay Subarterial hole, thirteen to fifteen millimeter way [Verse 2] Right aortic arch in thirty percent Mirror image branching, the vessels are bent Left brachiocephalic, right CCA too Right subclavian artery, that's how they grew [Chorus] Six associations, remember them well VSD and right arch, their stories to tell Patent foramen, interrupted arch Truncal valve problems, genetics to march DiGeorge deletion, coronaries strange Truncus arteriosus brings anatomic change [Verse 3] Patent foramen ovale, three millimeter wide Left to right shunting, blood takes a ride But interrupted aortic arch we might see Ten to fifteen percent, check carefully [Verse 4] Truncal valve tricuspid, competent and clean But abnormalities common, know what they mean From stenosis to regurgitation's flow Pre-op assessment, that's what we need to know [Chorus] Six associations, remember them well VSD and right arch, their stories to tell Patent foramen, interrupted arch Truncal valve problems, genetics to march DiGeorge deletion, coronaries strange Truncus arteriosus brings anatomic change [Bridge] Twenty-two q eleven point two deletion Thirty-five percent need our attention Small thymus gland and hypocalcemia Immune deficiency, palatal anemia [Verse 5] Coronary arteries anomalous grown Surgical planning, their course must be known Each association matters for the heart Plan your repair right from the start [Chorus] Six associations, remember them well VSD and right arch, their stories to tell Patent foramen, interrupted arch Truncal valve problems, genetics to march DiGeorge deletion, coronaries strange Truncus arteriosus brings anatomic change [Outro] Never alone, these six come to play Learn each association, save the day
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