[Verse 1] Up in the outlet, under the great vessels' door, Aorta and pulmonary kissing, sharing one floor, No muscle rim to hide behind, no septum left to spare, Doubly committed — deux valves living right there. [Chorus] Sous les valves, c'est le toit du danger, Sous les valves, c'est le toit du danger, (Under the valves, that's the roof of danger) One defect, two doors, rien à négocier, (nothing left to negotiate) The cusp comes calling, slips into the gap, Aortic regurge tightens like a trap. [Verse 2] Conduction runs far off, His bundle's out of reach, Low block risk at surgery — that much we can teach, But don't relax your shoulders, there's a thief in the frame, The right, or the non-coronary cusp — prolapse is the name. [Verse 3] It herniates in slow motion, unsupported, unheld, Might plug the hole a little while the valve itself gets felled, Regurgitation building, ça monte avec les années, (it builds up over the years) This hole won't close on its own — it was never built to stay. [Chorus] Sous les valves, c'est le toit du danger, One defect, two doors, rien à négocier, The cusp comes calling, slips into the gap, Aortic regurge tightens like a trap. [Bridge] No rim for a device, so the catheter turns away, Scalpel says oui, closes early — don't delay, Small shunt, big risk, don't wait around to see, Seen more in Osaka, Seoul, and Shanghai's streets, East Asian hearts carry this beneath every beat, And when the septum's vanished — think truncus, mon ami, One valve alone, playing roof over the artery, Conotruncal failure, total, no divide to be. [Verse 4] Echo whispers a diastolic clue, Color Doppler paints the leak in vivid blue, Parasternal long axis, watch the cusp descend, Chasing the jet as it curls around the bend. CT confirms the picture, MRI seals the case, Volumes creeping upward, dilation finds its place, Symptoms lag behind the damage, silent, slow, But the ventricle remembers everything below. [Bridge 2] Surgeons weigh the timing, cardiologists debate, Wait too long and the valve may seal its fate, Every echo season, every follow-up call, Watching for the whisper before the wall, Because the cusp won't warn you twice, Once it slips, it pays no mind to advice. [Chorus] Sous les valves, c'est le toit du danger, One defect, two doors, rien à négocier, The cusp comes calling, slips into the gap, Aortic regurge tightens like a trap, Close it early, close it low, Avant que le coeur ne lâche — (before the heart gives way) [Outro] Doubly committed, subarterial call, Watch the cusp, mind the wall, Sous les valves — c'est là que tout se joue. (under the valves — that's where it all plays out) [Final Chorus] Sous les valves, c'est le toit du danger, One defect, two doors, rien à négocier, The cusp comes calling, slips into the gap, Aortic regurge tightens like a trap.
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