[Verse 1 – Male]
Screen goes dark, then the loop starts spinning,
Four-chamber view, echo's grinning,
Call it fast before the clip resets—
Perimembranous, that's the safest bet,
Eighty percent of the holes you'll see
Sit right under the aortic valve, tucked in tight and sneaky.
[Verse 1 – Female]
Complication? Watch the leaflet lean,
Aortic cusp gets pulled into the seam,
Prolapse creeps in, regurgitation's the name,
Jet stream whispers what the picture's claiming.
[Chorus]
P-M-I-O, that's the frame we know,
Perimembranous, muscular, inlet, outlet — steady, slow.
Spot the wall, spot the flaw, name the fault line true,
One defect, one danger — that's the drill we do.
[Verse 2 – Male]
Muscular type, look for the swiss-cheese sieve,
Multiple holes where the septum forgets to live,
Trabeculated chaos, small and shifty,
Some seal themselves before the kid turns fifty.
[Verse 2 – Female]
Complication here's a quieter thief:
Volume overload, then heart failure's grief,
Watch the vegetation, friable and frail—
Crumbly clumps of bacteria riding the pulmonary trail.
[Verse 3 – Male]
Inlet defect, sitting low and deep,
AV canal's cousin, doesn't play it cheap,
Down syndrome's echo hums along this beat,
Common atrioventricular canal complete.
[Verse 3 – Female]
Complication: valve regurgitation's spread,
Mitral cleft whispering trouble ahead,
Pulmonary pressures climbing, don't be slow—
Eisenmenger's shadow starts to grow.
[Chorus]
P-M-I-O, that's the frame we know,
Perimembranous, muscular, inlet, outlet — steady, slow.
Spot the wall, spot the flaw, name the fault line true,
One defect, one danger — that's the drill we do.
[Verse 4 – Male]
Outlet, subarterial, up beneath both valves,
Doubly committed, rare among the halves,
Common in the East, the conoventricular kin,
Aortic cusp again gets sucked right in.
[Verse 4 – Female]
Frisson on your fingers — that's the thrill you feel,
A shiver-vibration, palpable and real,
Left-to-right the shunt sings its telltale song,
Big enough, ignored enough, and pressures flip along.
[Bridge – Both]
Cyanosis creeping backward, blue replacing red,
Eisenmenger's the ending nobody wants to read,
So type it right, and flag the risk in view—
Image, name, complication — that's the exam for you.
[Chorus]
P-M-I-O, that's the frame we know,
Perimembranous, muscular, inlet, outlet — steady, slow.
Spot the wall, spot the flaw, name the fault line true,
One defect, one danger — that's the drill we do.
[Outro – Male/Female]
Freeze the frame, call the name, name the fate it earns,
That's the echo alphabet — that's the way it burns.