Branches of aorta, subclavians, axillary arteries

Rote memorize this page. Then answer the questions at the end. No pain no gain.

Branches of aorta (in order): ABCS

  • (Aorta)
  • Brachiocephalic (bifurcates into right subclavian artery and right common carotid)
  • Left Common carotid
  • Left Subclavian

Branches of each subclavian artery (in order) – Very Interesting Things Cost Double:

  • Vertebral artery
    • Ascends through the cervical transverse foramina and merges to form the basilar artery.
  • Internal thoracic artery (formerly internal mammary artery)
    • Supplies anterior chest wall; bifurcates into the superior epigastric artery and musculophrenic artery.
  • Thyrocervical trunk (four branches, in order – ISAT)
    • Inferior thyroidal artery, Suprascapular artery, Ascending cervical artery, Transverse cervical artery
  • Costocervical trunk
    • Bifurcates into deep cervical artery and superior intercostal artery.
  • Dorsal scapular artery
    • Supplies the Trapezius, Rhomboids, and Levator scapulae (TRL)

Axillary artery is what the subclavian artery is called after it travels lateral to the first rib – i.e., before it passes the lateral aspect of the first rib, the artery is called the subclavian. After, it is simply called the axillary artery.

After the subclavian artery becomes the axillary artery lateral to the first rib, the axillary artery will go on to become the brachial artery after passing the inferior margin of teres major.

Therefore subclavian artery axillary artery → brachial artery.

Anatomy of axillary artery (three parts, with their respective branches, in order) – Screw The Lawyers Save A Patient:

  • 1st part – superior to pectoralis major
    • Superior thoracic artery
  • 2nd part – posterior to pectoralis major
    • Thoracoacromial artery
    • Lateral thoracic artery
  • 3rd part – inferior to pectoralis major
    • Subscapular artery
      • First 4cm of the subscapular artery has two branches: the circumflex scapular artery and thoracodorsal artery.
      • It should be noted that the thoracodorsal artery supplies the latissimus dorsi.
      • If the subscapular artery is ligated, the circumflex scapular artery can supply the latissimus dorsi via retrograde flow.
    • Anterior humeral circumflex artery
      • Small vessel; supplies head of humerus and the glenohumeral joint.
    • Posterior humeral circumflex artery
      • Larger than anterior humeral circumflex artery.
      • Supplies the deltoid, teres major, teres minor, and the long head of the triceps.

1. What does ABCS mean in terms of the aortic arch?

2. What are the branches of the subclavian artery?

3. a) What vertebral structure does the vertebral artery pass through?

b) What artery does the L + R vertebral arteries merge to become?

4. a) What general location do the internal thoracic (mammary) arteries supply?

b) The internal thoracic (mammary) arteries bifurcate into which arteries?

5. What does the thyrocervical trunk branch into?

6. What does the costocervical trunk bifurcate into?

7. Name three muscles the dorsal scapular artery supplies.

8. What artery does the subclavian become, and where?

9. What artery does the axillary artery become, and where?

10. a) What locations define the three parts of the axillary artery?

b) What are the branches of the axillary artery, and at what parts do they branch off?

11. Which two arteries branch off of the subscapular artery within 4cm of its origin?

12. What does the thoracodorsal artery supply?

 
 
 
 
 

13. 42F + undergoes axillary lymph node dissection for breast cancer + subscapular artery is ligated during surgery + latissimus dorsi remains viable following surgery due to retrograde blood from which other artery?

 
 
 
 
 

14. What does the anterior humeral circumflex artery supply?

15. What does the posterior humeral circumflex artery supply?