[Verse 1] Talk about the proximal hood, where the new line meets the old, Ventriculotomy scar or the conduit's orifice, so I'm told, Bridge the gap, don't pinch the valve, keep the leaflets swinging free, ePTFE, pericardium, homograft — pick your tapestry, Stitch it wide, stitch it clean, steer around the coronary tree, Anomalous LAD crossing — cut too close, you choke an artery, Surgeon's eye like a cartographer tracing a river bend, Mind the branch, mark the vessel, that's how the proximal hood should blend. [Chorus] Hood the gap, spare the valve, dodge the LAD's lonely road, Patch the hole, brace the wall, that's the proximal hood code, Twenty-five's the ceiling, half of aortic is the line, Cross it once, you're back on pump, revise it one more time. [Verse 2] Now the tricuspid's leaking, moderate or worse today, Annuloplasty ring or De Vega stitch to cinch the leaflets back in play, Augment the leaflet if it's tethered, give the valve some length to close, Meanwhile scan for residual holes where the old VSD patch arose, Resect the aneurysm, that thin akinetic RVOT swell, Scar tissue ballooning outward, pressure makes it want to dwell, Cut it back to healthy muscle, close it tight in double layer, One trip to the table, fix it all — don't send them home to a prayer. [Chorus] Hood the gap, spare the valve, dodge the LAD's lonely road, Patch the hole, brace the wall, that's the proximal hood code, Twenty-five's the ceiling, half of aortic is the line, Cross it once, you're back on pump, revise it one more time. [Verse 3] Before the bypass even starts, EP's already been in, Mapping out the ventricle, tracing where the bad beats begin, Cryoablation targets the isthmus — that's a narrow bridge of tissue, Where slow conduction loops and circles, VT's hiding issue, Between the VSD patch and the pulmonary rim it lies, Between the RVOT patch and tricuspid annulus, disguised, Freeze the channel, kill the loop, silence the friable scar, Tissue so crumbly, so fragile, yet electric signals travel far. [Bridge] Off the pump now, TEE's rolling, watch the echo light the screen, Conduit valve swinging free, branch flow sweet and clean, Tricuspid holds, LV's brimming, bubbles chased from the chamber wall, Catheter checks RV and PA, numbers get the final call, Gradient over twenty-five, ratio past the half, Back on bypass, fix it again — don't let the monitor laugh. [Chorus] Hood the gap, spare the valve, dodge the LAD's lonely road, Patch the hole, brace the wall, that's the proximal hood code, Twenty-five's the ceiling, half of aortic is the line, Cross it once, you're back on pump, revise it one more time. [Outro] Hood and valve and ablation line, three repairs in a single sitting, Measure twice before you leave, make the pressures fitting, Proximal hood, concomitant work — the heart remembers the hand that healed it right.
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