[Verse 1]
One vessel used to carry it all,
lungs and body drinking from a single stone wall,
first move of the surgeon: peel the branches away,
snip both PA ostia where they cling and they stay.
Type two, they're neighbors, close enough to kiss,
lift them off together, one button, no miss,
now there's a window left open in the trunk,
glutaraldehyde-treated pericardium sunk
into that gap, stitched tight like a seal,
lungs disconnected — first goal made real.
[Chorus]
Three goals, one wire back to true —
snip the branch, steer the stream, span the avenue,
patch the hole, patch the wall, build the tube anew,
rewire the diagram, that's what we do.
Separate. Redirect. Rebuild the road.
Three goals carry the whole heart's load.
[Verse 2]
Second move dives down through the wall of the heart,
that hole between chambers gets closed like a chart,
the patch is angled, positioned with care,
so the left ventricle's pushing through open air
straight to the trunk, no detour, no bend,
and the valve that once was truncal — hear the name transcend:
call it the neo-aortic, the vessel's new crown,
the neo-aorta wears what the trunk handed down.
Same architecture, brand new career,
the plumbing's ancient, the title is here.
[Chorus]
Three goals, one wire back to true —
snip the branch, steer the stream, span the avenue,
patch the hole, patch the wall, build the tube anew,
rewire the diagram, that's what we do.
Separate. Redirect. Rebuild the road.
Three goals carry the whole heart's load.
[Verse 3]
Third move builds a bridge where the right heart had none,
cut a window in the RV, that's where it's begun,
a conduit spans it, running up to the split
where the pulmonary arteries wait to be knit.
Homograft's the gold standard, borrowed and true,
a stranger's own pipeline carrying blood through,
xenograft's the bovine jugular vein instead,
Contegra by name, cow tissue widespread,
Gore-Tex tube for the neonate, ten to twelve wide,
or skip the conduit — Barbero-Marcial's stitched it inside.
[Bridge]
Lungs cut loose, patched and sealed,
left ventricle's new pathway revealed,
right side rebuilt with a borrowed lane —
three moves, one circuit, no vessel in vain.
Snip. Patch. Connect. Say it again.
Snip. Patch. Connect. Say it again.
[Chorus]
Three goals, one wire back to true —
snip the branch, steer the stream, span the avenue,
patch the hole, patch the wall, build the tube anew,
rewire the diagram, that's what we do.
Separate. Redirect. Rebuild the road.
Three goals carry the whole heart's load.
[Outro]
Separate the lungs, close the hole, raise the tube high,
the diagram's rewired — watch the circulation fly.
Three goals, one heart, singing clean and new,
that's the truncus repair, wired straight through.