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Aortic sinus

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Anatomic dilation in the left heart
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Aortic sinus
Aorta laid open to show thesemilunar valves. (N.B. captions don't align with current terminology)
Details
Synonymssinus of Valsalva
Identifiers
Latinsinus aortae
MeSHD012850
TA98A12.2.03.002
TA24001
FMA3745
Anatomical terminology

Anaortic sinus, also known as asinus of Valsalva,[1] is one of the anatomic dilations of theascending aorta, which occurs just above theaortic valve. These widenings are between the wall of theaorta and each of the three cusps of the aortic valve.[2]

The aortic sinuses causeeddies which prevent the valve cusps from touching the internal surface of the aorta and obstructing the openings of the coronary arteries.[3]

Structure

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There are generally three aortic sinuses, oneanterior and twoposterior sinuses. These give rise tocoronary arteries:[4][better source needed]

  • The left aortic or left posterior aortic sinus gives rise to theleft coronary artery;
  • The right aortic or anterior aortic sinus gives rise to theright coronary artery;
  • The posterior aortic or right posterior aortic sinus usually gives rise to no vessels. It is often known as thenon-coronary sinus.

The aortic sinuses are typically more prominent than the pulmonary sinuses.[5]

Clinical significance

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If the coronary arteries arise from the wrong aortic sinuses, this can put the heart'sventricles at risk ofischaemia.[6] This is often only discovered when aheart attack has already occurred, usually before the age of 20 and duringexercise.[6]

Names

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Each aortic sinus can also be referred to as thesinus of Valsalva,[1] thesinus of Morgagni, thesinus of Mehta, thesinus of Otto, orPetit's sinus.

See also

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References

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  1. ^abWeinreich, Michael; Yu, Pey-Jen; Trost, Biana (2015)."Sinus of Valsalva Aneurysms: Review of the Literature and an Update on Management".Clinical Cardiology.38 (3):185–189.doi:10.1002/clc.22359.ISSN 1932-8737.PMC 6711005.PMID 25757442.
  2. ^Dorland's (2012).Dorland's Illustrated Medical Dictionary (32nd ed.). Elsevier. p. 1719.ISBN 978-1-4160-6257-8.
  3. ^Koeppen, Bruce M.; Stanton, Bruce A.; Swiatecka-Urban, Agnieszka, eds. (2024).Berne & Levy Physiology (8th ed.). Philadelphia, PA: Elsevier.ISBN 978-0-323-84790-2.
  4. ^Deng, Francis."Sinus of Valsalva | Radiology Reference Article | Radiopaedia.org".Radiopaedia. Retrieved2023-01-08.
  5. ^Issa, Ziad F.; Miller, John M.; Zipes, Douglas P. (2012-01-01), Issa, Ziad F.; Miller, John M.; Zipes, Douglas P. (eds.),"Chapter 23 - Adenosine-Sensitive (Outflow Tract) Ventricular Tachycardia",Clinical Arrhythmology and Electrophysiology: A Companion to Braunwald's Heart Disease (Second Edition), Philadelphia: W.B. Saunders, pp. 562–586,doi:10.1016/b978-1-4557-1274-8.00023-3,ISBN 978-1-4557-1274-8, retrieved2020-11-11{{citation}}: CS1 maint: work parameter with ISBN (link)
  6. ^abThiene, G.; Rizzo, S.; Basso, C. (2016-01-01), Buja, L. Maximilian; Butany, Jagdish (eds.),"Chapter 10 - Pathology of Sudden Death, Cardiac Arrhythmias and Conduction System",Cardiovascular Pathology (Fourth Edition), San Diego: Academic Press, pp. 361–433,doi:10.1016/b978-0-12-420219-1.00010-0,ISBN 978-0-12-420219-1, retrieved2020-11-11{{citation}}: CS1 maint: work parameter with ISBN (link)

External links

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Anatomy of theheart
General
Surface
Internal
Chambers
Right heart
Left heart
Layers
Endocardium
Myocardium
Pericardial cavity
Pericardium
Blood supply
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