[Verse 1]
Male: Right atrium chillin', tricuspid door still swings the same,
Nothing touched the inflow, no rerouting, no rename,
Right ventricle took the hit, that ventriculotomy's the scar,
Surgeon paved a new road where the old outflow tract once was,
Native chamber, borrowed exit, pumping low and slow to lungs,
Pressure eased, that's the goal, less strain on muscle rungs.
Female: But that wall remembers cutting, holds the memory of the blade,
Function's steady, structure's altered, that's the price the fix has paid,
It's the landmark for the surgeon tracing conduit from the start,
Right ventricle to pulmonary — carve it into your chart.
[Chorus]
Both: RA to tricuspid, RV to the graft,
Branch PAs catch the current, lungs collect the draft,
LA to mitral, LV to the patch,
Steering cross the septum to the neo-aortic hatch,
Neo-aorta carries on, coronaries ride along,
That's the whole repaired connection, that's the mnemonic song.
[Verse 2]
Female: That valved conduit's a loaner, prosthetic, graft, not grown,
Every other structure's native — this one stands alone,
Calcium creeps in slowly, gradient climbing up the chart,
Achilles heel of the whole repair, remember that part,
Where they stitched the branches on, watch the anastomosis seam,
Stenosis loves a narrow scar — that's no place to daydream.
Male: RPA, LPA, reimplanted, fed by graft,
Echo, cath lab, MRI keep tracking down that draft.
[Verse 3]
Male: Left atrium, mitral valve, untouched, running clean,
Left ventricle drives the blood, the strongman of the machine,
But the septum's got a patch where the hole was stitched up tight,
Female: VSD patch redirects it, sends the flow to outflow right,
Tiny leaks around the border, a millimeter, maybe two,
Reshunting's usually harmless — nothing new to lose sleep to.
[Verse 4]
Male: That truncal valve turned neo-aortic, native but not built quite whole,
Congenitally imperfect, regurgitation takes its toll,
Root can widen, slow and steady, watch it every single year,
Female: Coronaries branch off native, from that very root right here,
Unchanged since the very first stitch, feeding muscle, feeding wall,
Male: Arch stays wherever it started — right or left, it doesn't fall
back to some "normal" bending, surgery won't move that curve,
Whatever side it launched from, that's the side it'll still serve.
[Chorus]
Both: RA to tricuspid, RV to the graft,
Branch PAs catch the current, lungs collect the draft,
LA to mitral, LV to the patch,
Steering cross the septum to the neo-aortic hatch,
Neo-aorta carries on, coronaries ride along,
That's the whole repaired connection, that's the mnemonic song.
[Bridge]
Male: One side native, growing strong, the other capped in plastic,
Female: Follow-up ain't optional, this fix was never elastic,
Both: Surveillance every season — echo, gradient, valve,
Watch the graft, watch the root, that's how the heart behaves.