[Verse 1] Small holes hiding under the septum wall, perimembranous, muscular, they whisper small— "benign" is a word we don't just trust and file, watch for prolapse creeping, valve pulled out of style, DCRV building a shelf in the chamber floor, endocarditis knocking soft on that door, so we follow, we listen, year after year, not forever quiet — we keep an ear. [Chorus] Osserva, aspetta — watch it, patch it, o lascialo stare, due strade per un cuore che vuole guarire, piccolo buco, grande da non ignorare, cuciamo piano, dolcemente, senza sbagliare. [Verse 2] The infant's breathing fast, can't finish the bottle right, so we bridge the gap before the surgeon's light— diuretics wringing the fluid from the lung, calories stacked high till the muscle grows strong, it's not the answer, just a hand to hold, a runway built for a heart still far too small, we buy the months, we watch the weight climb high, awaiting closure underneath a steadier sky. [Chorus] Osserva, aspetta — watch it, patch it, o lascialo stare, due strade per un cuore che vuole guarire, piccolo buco, grande da non ignorare, cuciamo piano, dolcemente, senza sbagliare. [Verse 3] For the big ones, standard is the patch and thread, through the right atrium, tricuspid valve instead, no cutting through the ventricle, we spare that wall, suture dancing round the conduction, careful, small— perimembranous, inlet, the bundle's in the way, so the stitch line learns to bend and step away, mortality under one percent, outcomes clean, heart block rare, maybe one in a hundred seen. [Verse 4] Muscular holes, some perimembranous too, device closure fits when the rims are strong and true, an umbrella wire folding shut from either side, perventricular hybrid for the babies small and wide, banding the artery — that's an old-school plan now, saved for Swiss-cheese septum, a staged strategy somehow, each tool a different key for a different lock, match the method to the muscle, tick the surgical clock. [Bridge] But if the pressures flipped, the shunt reversed its tide, Eisenmenger's arrived — don't close it, let it ride, pulmonary vasodilators, specialist care, closing now would stall the pump that's breathing air. Non si chiude, è tardi, cambia la strada, serve il farmaco giusto, non la lama. [Chorus] Osserva, aspetta — watch it, patch it, o lascialo stare, due strade per un cuore che vuole guarire, piccolo buco, grande da non ignorare, cuciamo piano, dolcemente, senza sbagliare. [Outro] Watch it, patch it, wire it, or walk away slow, due mani sul cuore, adesso lo so, small can turn serious, big finds its cure, un cuore che canta — resiliente, e sicuro.
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