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Anatomy · Thorax: aortic sinuses
Sample itemDuring coronary angiography the operator engages the coronary ostia just above the aortic valve. Which of the aortic sinuses does not give origin to a coronary artery?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Non-coronary aortic sinus
The aortic root has three sinuses (of Valsalva) lying behind the three semilunar cusps. The right coronary artery arises from the right sinus, the left coronary artery from the left sinus, and the third sinus is called the non-coronary sinus because no coronary artery arises there.
Option by option
A. Right coronary aortic sinus
The right coronary aortic sinus gives origin to the right coronary artery.
B. Left coronary aortic sinus
The left coronary aortic sinus gives origin to the left coronary artery.
C. Coronary sinus of the right atrium
The coronary sinus is a venous channel of the atrioventricular groove, not an aortic sinus.
D. Non-coronary aortic sinus (correct)
Correct. The non-coronary sinus has no coronary ostium.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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