Where do the coronary arteries begin?

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The coronary arteries originate from the right and left aortic sinuses (also known as the sinuses of Valsalva), which are small bulges located at the base of the ascending aorta just beyond, or distal to, the aortic valve.1

Specifically, the opening (or ostium) of the right coronary artery is situated in the right aortic sinus, while the opening of the left coronary artery is located in the left aortic sinus, positioned just above the aortic valve ring. These vessels serve as the first branches of the aorta, ensuring that oxygen-rich blood is delivered directly to the heart muscle.1234