[Verse 1]
When truncus type two graces your exam room
Adult survivors need specific protocols
AHA-ACC twenty-eighteen maps the pathway
ESC twenty-twenty builds upon those walls
Bicuspid valve with stenosis brewing
Pulmonary artery reconstruction pending
[Chorus]
Guidelines guard the grown-up heart
AHA maps, ESC charts
Endocarditis lurks around
Prophylaxis keeps it bound
Twenty-eighteen, twenty-twenty
Evidence-based, prevention plenty
[Verse 2]
Conduit replacement timing matters deeply
Dysfunction signals intervention's call
Pregnancy counseling requires careful staging
Maternal risk assessment trumps them all
Exercise testing reveals hidden limits
Arrhythmia screening catches silent threats
[Chorus]
Guidelines guard the grown-up heart
AHA maps, ESC charts
Endocarditis lurks around
Prophylaxis keeps it bound
Twenty-eighteen, twenty-twenty
Evidence-based, prevention plenty
[Bridge]
Infective endocarditis scientific statement
High-risk lesions demand antibiotic shield
Dental procedures trigger bacterial seeding
Poor dentition multiplies the battlefield
Viridans streptococci colonize the valve
Prevention protocols can save the day
[Verse 3]
Serial imaging tracks the conduit aging
Echocardiography reveals the wear
MRI quantifies regurgitation volume
Catheterization measures pressure there
Multidisciplinary teams coordinate care
Specialized centers optimize outcomes
[Chorus]
Guidelines guard the grown-up heart
AHA maps, ESC charts
Endocarditis lurks around
Prophylaxis keeps it bound
Twenty-eighteen, twenty-twenty
Evidence-based, prevention plenty
[Outro]
From truncus type two to adult success
Guidelines illuminate the treacherous course
Prevention protocols and surgical timing
Evidence-based medicine remains our source