[Verse 1]
Twenty-two q eleven dot two deletion here
DiGeorge syndrome makes the picture crystal clear
Cardiac defects cluster in this genetic tale
Truncus arteriosus when chromosomes fail
Conotruncal anomalies rise up from the start
When neural crest migration tears the developing heart
[Chorus]
Further studies guide the way
PVR assessment day by day
Homograft versus synthetic choice
Transition care needs every voice
Ross procedure, valve replace
Adult congenital's changing face
[Verse 2]
Pulmonary vascular resistance tells the story true
Catheterization data shows us what to do
Wood units climbing as the pressures rise too high
Operability windows slowly say goodbye
Vasoreactivity testing with the oxygen mask
Reversibility questions that we have to ask
[Chorus]
Further studies guide the way
PVR assessment day by day
Homograft versus synthetic choice
Transition care needs every voice
Ross procedure, valve replace
Adult congenital's changing face
[Verse 3]
Homografts bring biology but calcify with time
Synthetic conduits last longer in their prime
Melody valves and Contegra weigh the risks
Percutaneous replacement when the gradient skips
Twenty millimeter mercury across the valve
New technology helps the problems that we solve
[Bridge]
Neurodevelopment suffers when the surgery's young
Bypass time and cooling leave the circuits unstrung
Executive function, learning deficits appear
Multidisciplinary support throughout the years
[Verse 4]
Transition of care from pediatric teams
Adult congenital specialists fulfill the dreams
Structured programs bridge the gap from child to grown
Medical homes ensure they're never left alone
Ross procedure moves the valve from right to left
Aortic root replacement when the tissue's bereft
[Chorus]
Further studies guide the way
PVR assessment day by day
Homograft versus synthetic choice
Transition care needs every voice
Ross procedure, valve replace
Adult congenital's changing face
[Outro]
Twenty-two q deletion through the lifespan long
Further study topics make our knowledge strong