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Anatomy · Thorax: mitral valve and aortic valve continuity
Sample itemOn echocardiography, the anterior leaflet of the mitral valve is seen to lie in fibrous continuity with another valve. This places the leaflet between the left ventricular inflow and outflow tracts. Which valve is this?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Aortic valve
The anterior mitral leaflet is continuous with the left and non-coronary cusps of the aortic valve through the aortomitral curtain. Because of this, the leaflet separates inflow from outflow within the left ventricle. Infective endocarditis of the aortic valve can seed the anterior mitral leaflet.
Option by option
A. Aortic valve (correct)
Correct. The fibrous aortomitral curtain links the anterior mitral leaflet with the aortic cusps.
B. Tricuspid valve
The tricuspid valve lies in the right heart and is not continuous with the mitral valve.
C. Eustachian valve
The Eustachian valve is a small right atrial fold at the inferior vena caval opening, not a heart valve.
D. Pulmonary valve
The pulmonary valve is separated from the left heart by the right ventricular outflow tract.
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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