[Verse 1]
Deep in the muscle wall, wandering free,
Apex to anterior, wherever it may be,
Mid-muscular, posterior, scattered like seeds,
Rimmed all around in muscle — no conduction it feeds.
[Chorus]
C'est le champion, the champion of closing,
Muscle grows around it, no need for supposing,
Petit trou musculaire, ferme-toi tout seul,
Watch and wait, mon coeur — the years will do the work.
[Verse 2]
Sometimes it's not one hole but a colony of pores,
Swiss-cheese septum, riddled floor to floor,
Multiple defects hiding in the trabeculations,
Surgeons squint and struggle — this needs new calculations.
[Chorus]
C'est le champion, the champion of closing,
Muscle grows around it, no need for supposing,
Petit trou musculaire, ferme-toi tout seul,
Watch and wait, mon coeur — the years will do the work.
[Verse 3]
Conduction sits remote, tucked safe below the crest,
Except up high — anterior, posterior, don't rest,
There the bundle branches skim close along the rim,
Otherwise the rhythm's calm, the muscle keeps it dim.
[Bridge]
Percutaneous device, threaded soft and slow,
Or perventricular hybrid, straight through skin we go,
Too tortuous for scalpel, too deep for a blade's reach,
Send a plug, not a suture — let the catheter teach.
[Verse 4]
For the Swiss-cheese pattern, banding comes first sometimes,
Pulmonary artery cinched to quiet the climbs,
Buying time for muscle growing, sealing pore by pore,
Combined strategies waiting past the operating door.
[Chorus]
C'est le champion, the champion of closing,
Muscle grows around it, no need for supposing,
Petit trou musculaire, ferme-toi tout seul,
Watch and wait, mon coeur — the years will do the work.
[Verse 5]
Echo probe goes searching, color flow lights the way,
Jet of red through muscle, betraying where it lay,
Left-to-right the shunting, pressure gradient steep,
Serial scans through childhood, watching while they sleep,
Some defects vanish quiet, closing on their own,
Others linger stubborn, needing skill fully grown,
The cardiologist and surgeon, partners in the chase,
Mapping every pathway, giving every case its place.
[Verse 6]
Symptoms guide the timing, failure to thrive the sign,
Pulmonary pressures rising, a warning in the line,
If the heart's overwhelmed, we cannot simply wait,
Intervention calls us forward before it grows too late,
But if the child is thriving, growing strong and tall,
Patience is the medicine, the muscle heals it all,
Every defect different, every child their own song,
Written in the myocardium, where the echoes belong.
[Outro]
Trabeculated tunnels, closing on their own,
C'est la nature qui guérit — la nature seule,
Muscular the champion, remember as you learn,
The muscle heals the muscle, année après année.
[Chorus]
C'est le champion, the champion of closing,
Muscle grows around it, no need for supposing,
Petit trou musculaire, ferme-toi tout seul,
Watch and wait, mon coeur — the years will do the work.