[Verse 1]
Ten hearts on the table, ten septal tales,
echo probe humming where the pressure trail fails.
Four boxes waiting, choose the correct address:
perimembranous, muscular, outlet, or the inlet mess.
Anderson's whisper hides inside the same four walls,
juxta-arterial, canal-type — matching calls.
Malalignment, override, tricuspid tissue tags,
read the rim, not the rumor, before the label snags.
[Chorus]
Четыре типа, one hole, one heart —
четыре имени for every part.
Perimembranous rim, hugging the cusp,
Muscular swiss cheese, trabecular dust.
Outlet under both, no muscle to spare,
Inlet by the canal, common floor lying there.
Четыре типа — считай, называй,
crosswalk the labels, don't let one stray.
[Verse 2]
Case one: the surgeon sees a fibrous rim so thin,
aorto-mitral continuity peeking in —
perimembranous, tricuspid septal tissue draped like lace,
Anderson calls it the same, no need to chase.
Case two: moderator band, defect stitched in the wall,
muscular type, borders thick, they circle round it all —
"swiss cheese" if multiples riddle the septum's face,
same coordinates, same name, same place.
[Verse 3]
Case three: pulmonary and aortic valves share one roof,
no conal cushion, doubly committed proof —
outlet type by the four-hole map we drew,
Anderson says juxta-arterial, sizing true.
Case four: straddling tricuspid, common AV floor,
inlet defect, canal-type framing the door —
posterior rim missing, malalignment in the mix,
crosswalk both systems, watch the anatomy fix.
[Bridge]
Не путай имена — don't confuse the names,
the hole's the same, the label just reframes.
Rim of muscle, rim of fiber, override degree,
read the descriptors first, then set the type free.
Gerbode's whisper, LV-to-RA sneak,
gets called perimembranous when the tricuspid's weak.
Straddling valve, malaligned outflow, conal drop —
name it twice, one language, and the guessing stops.
[Verse 4]
Case five: the catheter finds a rim of muscle all around,
perimembranous mimics but the tissue tells its sound —
true muscular defect, complete encirclement's the key,
no fibrous continuity, no aortic-mitral plea.
Case six: subpulmonary shelf, a sliver holds the line,
outlet type by fiber rim, but juxta-arterial's the sign
only when that shelf goes missing, cusps collapse as one —
context builds the label, the counting's never done.
So carry both dictionaries, let neither one be lost,
the surgeon and the echo reader must agree on cost.
[Chorus]
Четыре типа, one hole, one heart —
четыре имени for every part.
Perimembranous rim, hugging the cusp,
Muscular swiss cheese, trabecular dust.
Outlet under both, no muscle to spare,
Inlet by the canal, common floor lying there.
Четыре типа — считай, называй,
crosswalk the labels, don't let one stray.
[Outro]
Ten descriptions, four true names to find,
Anderson and the four-type, two maps, one mind.
Скажи мне тип — назови, don't guess,
say the rim, say the border, pass the test.