[Verse 1]
From birth to thirty, then forty and beyond
Four operations, maybe five times strong
That conduit pathway needs replacing care
First surgery waits when you're two to five years there
Pulmonary arteries branch and narrow tight
Balloon angioplasty brings back the light
[Chorus]
Replace, dilate, repair, and pace
Four reinterventions through time and space
Conduit, vessel, valve, and rhythm's call
Truncus survivors face them all
Replace, dilate, repair, and pace
Managing hearts through every phase
[Verse 2]
Percutaneous valves slide into place
When anatomy allows this catheter embrace
Delaying one exchange, buying precious time
While aortic regurgitation climbs
The root dilates, the leaflets fail to seal
Surgical repair becomes the real deal
[Chorus]
Replace, dilate, repair, and pace
Four reinterventions through time and space
Conduit, vessel, valve, and rhythm's call
Truncus survivors face them all
Replace, dilate, repair, and pace
Managing hearts through every phase
[Bridge]
Residual VSDs rarely need closure now
Pacemakers march in when rhythms bow
ICD shocking back to life
When ventricles struggle through the strife
Transplant waits as the final door
When function fails forevermore
[Verse 3]
Three to five conduit swaps they'll need
Each decade brings another deed
PA stenosis fights for space
Stents and balloons restore the race
Truncus hearts demand lifelong care
Planned procedures everywhere
[Chorus]
Replace, dilate, repair, and pace
Four reinterventions through time and space
Conduit, vessel, valve, and rhythm's call
Truncus survivors face them all
Replace, dilate, repair, and pace
Managing hearts through every phase
[Outro]
From toddler years to adult days
Reinterventions pave the ways
Conduit, branches, valves, and beat
Make truncus management complete