[Verse 1] Second time under the blade, the chest's been opened before, Scar tissue glued that conduit flat to the bone's back door, Calcium crusted the wall like barnacles on a hull, Aneurysmal bulge pressing close, the risk gauge full, Aorta sits anterior, shifted up in the lane, RV ballooned out big, no room to maneuver the plane, Cut blind through that mess, you're begging for catastrophe, This is why re-entry's the villain of this anatomy. [Chorus] Scan it, plan it, cannulate the groin, Saw the front, saw the back, don't rush the coin, Lift the halves like curtains, peek before you peel, Find the plane or pay the price — that's the surgical deal, Redo sternotomy, respect the second door, Every scar's a warning that you've opened this before. [Verse 2] Oscillating saw hums low, steady hand on the grip, Anterior table first, a shallow, patient trip, Then the posterior table, thinner, trickier ground, Where the conduit's stuck tight, danger's often found, Retractors crank slow, lifting each hemisternum wing, Surgeon's fingers underneath, feeling for the cling, Dissect the blind spot careful, don't yank, don't force, Patience at the midline charts the safer course. [Verse 3] Before the saw even touches, the scan told the tale, High-risk picture on the CT, time to set the sail Toward the groin or armpit, femoral or axillary line, Peripheral cannulation running, bypass on standby, Now if steel meets conduit and the wall gives way, You're already pumping, decompressed, in control that day, Controlled repair beats chaos, cooling blood instead of floor, Expose the vessels early — that's the rule before the saw. [Verse 4] Inside now, dissection's a systematic hunt, Free the RV first, then the aorta out front, Chase the PA bifurcation, branch to branch, slow and sure, Old pericardial patches scarred down dense and hard to cure, The plane between conduit and aorta's thin as thread, Lose it and you're stitching vessel walls instead, Layer by layer, patient hands untangle the glue, Every structure freed is a catastrophe you walked through. [Bridge] This is the hinge where the chapters connect, Re-entry injury, bleeding — the risks you expect, Bad plane, blind cut, a nicked-open wall, Groin's already clamped so you catch it before the fall. [Chorus] Scan it, plan it, cannulate the groin, Saw the front, saw the back, don't rush the coin, Lift the halves like curtains, peek before you peel, Find the plane or pay the price — that's the surgical deal, Redo sternotomy, respect the second door, Every scar's a warning that you've opened this before. [Outro] Table by table, plane by plane, the second door swings wide, Scan first, cannulate first, let the pump be your guide, Respect the stuck conduit, respect the hidden wall, Controlled beats catastrophe — that's the lesson, that's all.
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