[Verse 1]
Small hole whispers, tracing stays quiet and clean,
normal axis, lungs on the film barely seen.
But widen the defect, watch the left heart grow loud,
left axis leaning, pulmonary trunk drawing a cloud.
Years of big shunt, right ventricle joins the choir,
biventricular hypertrophy signs the wire.
[Chorus]
Qp over Qs, mon coeur, tell me the ratio,
this is how the blood decides which way to go.
Сердце считает — the heart keeps its own count,
two rivers of red climbing the same amount.
Écoute le rythme, listen close, don't guess,
every shadow on the film is a shunt confessed.
[Verse 2]
When the echo mumbles, when the windows won't align,
cardiac MRI steps in and draws a cleaner line.
Phase contrast flowing through the aorta and the lung,
volumetric measure where the echo beam stung.
Qp to Qs by magnet, the ratio laid out bare,
one point five and climbing says the volume's really there.
[Chorus]
Qp over Qs, mon coeur, tell me the ratio,
this is how the blood decides which way to go.
Сердце считает — the heart keeps its own count,
two rivers of red climbing the same amount.
Écoute le rythme, listen close, don't guess,
every shadow on the film is a shunt confessed.
[Verse 3]
Late presenter, years gone quiet, walks in through the door,
catheter threading softly, measuring what came before.
Pulmonary vascular resistance — the number that decides,
operable or sealed forever, the wedge pressure never lies.
Vasodilator testing, watching how the vessels bend,
then the wire becomes the highway where the closure device descends.
[Verse 4]
Eisenmenger looming when the pressures cross the line,
right to left reversal, cyanosis draws the sign.
Clubbing on the fingers, saturations start to fall,
too late for closure now, the shunt outgrows it all.
Home oxygen, careful hands, palliative and slow,
mon cœur inversé — the river learns to flow the other way to go.
[Bridge]
Multiple defects, Swiss cheese hiding in the wall,
3D echo, CT rendering, catching each and all.
Planning device, planning patch, planning where the septum bends —
mon ami, la géométrie se complique — вот куда всё ведёт.
[Chorus]
Qp over Qs, mon coeur, tell me the ratio,
this is how the blood decides which way to go.
Сердце считает — the heart keeps its own count,
two rivers of red climbing the same amount.
Écoute le rythme, listen close, don't guess,
every shadow on the film is a shunt confessed.
[Outro]
Quatre modalités, four windows to one red room,
ECG, the film, the magnet, the catheter's hush and bloom.
Тихо считаем — softly counting what the flow reveals,
one small hole, four ways of listening to what it feels.