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Department of Neuroscience: Human Structure Module
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  9. Arteries of the Thorax

Arteries of the Thorax

ArterySourceBranchesSupply toNotes
anterior intercostalinternal thoracic a. (upper 6 intercostal spaces), musculophrenic a. (7-10th
intercostal spaces)
unnamed muscular branchesintercostal muscles anteriorly; skin overlying the intercostal musclesthere are two anterior intercostal aa. per side per intercostal space, one
coursing above and one coursing below each rib
anterior radicularthey arise as multiple branches of several vessels (vertebral, posterior
intercostal, lumbar, and lateral sacral aa.)
they accompany the ventral rootlets to reach the spinal cordmeninges; spinal cord; spinal nerve; ventral rootletsanterior radicular aa. anastomose with the anterior spinal a.
anterior spinalcontributions received from several arteries (vertebral, posterior intercostal,
subcostal, lumbar, lateral sacral aa.)
pial arterial plexusmeninges; spinal cord; medulla (dorsal motor nucleus of cranial nerve X,
nucleus ambiguus, spinal accessory nucleus and hypoglossal nucleus)
anterior spinal a. anastomoses with the anterior radicular brs. of the
spinal rami of the vertebral, posterior intercostal, subcostal, lumbar and
lateral sacral aa.
aorta, ascendingleft ventricle of the heartleft and right coronary aa.heart, entire bodyascending aorta is the shortest part of the aorta; it continues as the aortic
arch
aorta, descending thoraciccontinuation of aortic archposterior intercostal aa. 3-11, subcostal aa., left bronchial aa. (2), esophageal
aa. (~3), mediastinal brs., superior phrenic aa.
thoracic wall, lungs, posterior mediastinum, body below the respiratory
diaphragm
descending thoracic aorta passes posterior to the diaphragm (aortic hiatus)
at the level of the T12 vertebral body; it is continuous with the abdominal
aorta
aortic archthe continuation of the ascending aortabrachiocephalic trunk, left common carotid a., left subclavian a.the entire body except the heartaortic arch continues as the descending thoracic aorta; the fibrous ligamentum
arteriosum connects to the inferior surface of the aortic arch and it marks
the location of the fetal ductus arteriosus aortic arch continues as the descending
thoracic aorta
artery to the atrioventricular noderight coronary a. near the point where it becomes the posterior interventricular
a.
no named branchesatrioventricular node and the surrounding myocardiumartery to the atrioventricular node is located at the junction of the coronary
sulcus and the posterior interventricular sulcus
artery to the sinuatrial noderight coronary a.no named branchessinuatrial node and the surrounding myocardiumartery to the sinuatrial node is important artery to locate during cardiac
surgical procedures
ascending aortaleft ventricle of the heartleft and right coronary aa.heart, entire bodyascending aorta is the shortest part of the aorta; it continues as the aortic
arch
axillarysubclavian a. (axillary a. is the continuation of the subclavian lateral
to the 1st rib)
1st part: superior thoracic a.; 2nd part: thoracoacromial a., lateral thoracic
a.; 3rd part: anterior humeral circumflex a., posterior humeral circumflex
a., subscapular a.
pectoral region, shoulder region and upper limbpectoralis minor m. crosses anterior to the axillary artery and is used
to delineate the 3 parts mentioned at left
brachiocephalic trunkaortic archright common carotid a., right subclavian a.right side of the head and neck; right upper limb and right side of the
chest wall
there is only one brachiocephalic trunk
bronchial, leftdescending thoracic aortaright bronchial a. (occasionally)lower trachea, bronchial treethere are usually two left bronchial aa.
bronchial, right3rd right posterior intercostalno named brancheslower trachea, bronchial treeright bronchial a. may arise from the left bronchial a.
carotid, commonbrachiocephalic trunk (right), aortic arch (left)external carotid a., internal carotid a.most of the head and upper neckcommon carotid a. bifurcates at the level of the superior border of the
thyroid cartilage; the internal carotid a. and the external carotid a. are
its terminal brs.; the carotid sinus and carotid body are located at the bifurcation
circumflexleft coronary a.marginal br., possibly posterior artery of the left ventricleposterior surface of the left ventriclecircumflex a. courses in the atrioventricular (coronary) sulcus
communicating, posteriorinternal carotid a.perforating aa.an anastomotic connectiona vessel of anastomosis which connects the internal carotid a. to the posterior
cerebral a.; part of the cerebral arterial circle (of Willis)
coronary, leftascending aortaanterior interventricular a., circumflex a.left ventricle, left atrium, anterosuperior 2/3 of the interventricular
septum
left coronary a. arises superior to the left cusp of the aortic semilunar
valve; during its short course, it is located in the coronary sulcus; the anterior
interventricular a. and the circumflex a. are its terminal brs.
coronary, rightascending aortasinuatrial nodal a., right marginal a., posterior interventricular a., atrioventricular
nodal a.
right ventricle, right atrium, inferior 1/3 of the interventricular septumright coronary a. usually provides the posterior interventricular a.; it
courses within the coronary sulcus
costocervical trunksubclavian a., 2nd partdeep cervical a., highest intercostal a.deep muscles of the posterior neck; posterior ends of the first 2 intercostal
spaces
costocervical trunk is located between the anterior scalene m. and the middle
scalene m.; it arches posteriorly over the cervical parietal pleura
epigastric, superiorinternal thoracic a.no named branchesupper rectus abdominis m., upper abdominal wallsuperior epigastric a. is the direct continuation of the internal thoracic
a.; it s anastomoses with the inferior epigastric a. within the rectus abdominis
m.
esophagealdescending thoracic aorta; left gastric a.no named brancheslower 2/3rds of the thoracic esophagusthere are usually two (sometimes 3) esophageal brs. off of the aorta; the
left gastric a. gives esophageal brs. that ascend to supply the abdominal esophagus
and lowest part of the thoracic esophagus; anastomoses occur between the esophageal
brs. of the aorta and left gastric a.
intercostal, anteriorinternal thoracic a. (upper 6 intercostal spaces), musculophrenic a. (7-10th
intercostal spaces)
unnamed muscular branchesintercostal muscles anteriorly; skin overlying the intercostal musclesthere are two anterior intercostal aa. per side per intercostal space, one
coursing above and one coursing below each rib
intercostal, highestcostocervical trunkposterior intercostal aa. for intercostal spaces 1-2intercostal muscles of intercostal spaces 1 and 2, vertebral column, deep
back muscles
highest intercostal a. is also known as: supreme intercostal a.
intercostal, posteriorhighest intercostal (upper 2 intercostal spaces), descending thoracic aorta
(3rd-11th intercostal spaces)
posterior br., spinal br., anterior br., collateral br., lateral cutaneous
br.
intercostal muscles, spinal cord and vertebral column, deep back muscles,
skin and superficial fascia overlying the intercostal spaces
posterior intercostal aa. supply the lateral and posterior portions of the
intercostal space; anterior intercostal aa. supply the anterior portions of
the intercostal spaces
lateral thoracicaxillary, 2nd partunnamed muscular branchesserratus anterior m., parts of adjacent muscles, skin and fascia of the
anterolateral thoracic wall
lateral thoracic a. is a rare case in that it enters the serratus anterior
from its superficial surface
left coronaryascending aortaanterior interventricular a., circumflex a.left ventricle, left atrium, anterosuperior 2/3 of the interventricular
septum
left coronary a. arises superior to the left cusp of the aortic semilunar
valve; during its short course, it is located in the coronary sulcus; the anterior
interventricular a. and the circumflex a. are its terminal brs.
mammary, laterallateral thoracic a.no named brancheslateral side of the mammary glandmammary gland is a specialization of the skin and is supplied by superficial
(cutaneous) arteries
mammary, medialperforating brs. of the internal thoracic a.no named branchesmedial side of the mammary glandmammary gland is a specialization of the skin and is supplied by superficial
(cutaneous) arteries
musculophrenicinternal thoracic a.anterior intercostal aa.anterior diaphragm, anterior aspects of intercostal spaces 7-10 or 11musculophrenic a. supplies muscles that develop in the septum transversum
nodal, atrioventricularright coronary a. near the point where it becomes the posterior interventricular
a.
no named branchesatrioventricular node and the surrounding myocardiumartery to the atrioventricular node is located at the junction of the coronary
sulcus and the posterior interventricular sulcus
nodal, sinuatrialright coronary a.no named branchessinuatrial node and the surrounding myocardiumsinuatrial nodal a. is an important artery to locate during cardiac surgical
procedures
pericardiacophrenicinternal thoracic a.pericardial br., sternal br., mediastinal br.pericardial sac, pleura, diaphragmpericardiacophrenic a. accompanies the phrenic n.
pericardialpericardiacophrenic a.no named branchespericardial sacpericardial a. courses on the external surface of the pericardial sac
phrenic, inferiorabdominal aortasuperior suprarenal aa.diaphragm, suprarenal glandinferior phrenic a. is the first abdominal branch of the aorta; it may arise
from the celiac trunk
phrenic, superiordescending thoracic aorta (2 small brs.)no named branchesdiaphragmsuperior phrenic a. anastomoses with the musculophrenic a. and the pericardiacophrenic
a.
posterior intercostalhighest intercostal (upper 2 intercostal spaces), descending thoracic aorta
(3rd-11th intercostal spaces)
posterior br., spinal br., anterior br., collateral br., lateral cutaneous
br.
intercostal muscles, spinal cord and vertebral column, deep back muscles,
skin and superficial fascia overlying the intercostal spaces
posterior intercostal aa. supply the lateral and posterior portions of the
intercostal space; anterior intercostal aa. supply the anterior portions of
the intercostal spaces
posterior radicularthey arise as multiple branches of several vessels (vertebral, posterior
intercostal, lumbar, and lateral sacral aa.)
no named branchesmeninges; spinal cord; spinal nerve; dorsal rootletsposterior radicular aa. accompany the dorsal rootlets; they anastomose with
the posterior spinal aa.
posterior spinalcontributions received from several arteries (posterior inferior cerebellar,
vertebral, posterior intercostal, subcostal, lumbar, lateral sacral aa.)
pial arterial plexusspinal cord, especially the dorsal columns; medulla (nucleus cuneatus and
nucleus gracilis)
paired; posterior spinal aa. anastomose with the posterior radicular brs.
of the spinal rami of the vertebral, posterior intercostal, subcostal, lumbar
and lateral sacral aa.
pulmonary trunkright ventricleright pulmonary a., left pulmonary aa.lungsthe pulmonary trunk carries deoxygenated blood from the heart to the right
and left pulmonary aa.; each pulmonary a. carries deoxygenated blood to the
hilum of one lung; bronchial aa. supply oxygenated blood to the tissues of
the lung as far distally in the bronchial tree as the respiratory bronchioles
radicular, anteriorthey arise as multiple branches of several vessels (vertebral, posterior
intercostal, lumbar, and lateral sacral aa.)
they accompany the ventral rootlets to reach the spinal cordmeninges; spinal cord; spinal nerve; ventral rootletsanterior radicular aa. anastomose with the anterior spinal a.
radicular, great anteriorthe spinal br. of the lower posterior intercostal a., subcostal a., or upper
lumbar a., usually on left
no named brancheslower spinal cordgreat anterior radicular a. anastomoses with the anterior spinal a. at lower
thoracic or upper lumbar spinal cord levels
radicular, posteriorthey arise as multiple branches of several vessels (vertebral, posterior
intercostal, lumbar, and lateral sacral aa.)
no named branchesmeninges; spinal cord; spinal nerve; dorsal rootletsposterior radicular aa. accompany the dorsal rootlets; they anastomose with
the posterior spinal aa.
right coronaryascending aortasinuatrial nodal a., right marginal a., posterior interventricular a., atrioventricular
nodal a.
right ventricle, right atrium, inferior 1/3 of the interventricular septumright coronary a. usually provides the posterior interventricular a.; it
courses within the coronary sulcus
sinuatrial nodalright coronary a.no named branchessinuatrial node and the surrounding myocardiumsinuatrial nodal a. is an important artery to locate during cardiac surgical
procedures
spinal, anteriorcontributions received from several arteries (vertebral, posterior intercostal,
subcostal, lumbar, lateral sacral aa.)
pial arterial plexusmeninges; spinal cord; medulla (dorsal motor nucleus of cranial nerve X,
nucleus ambiguus, spinal accessory nucleus and hypoglossal nucleus)
the anterior spinal a. anastomoses with the anterior radicular brs. of the
spinal rami of the vertebral, posterior intercostal, subcostal, lumbar and
lateral sacral aa.
spinal, posteriorcontributions received from several arteries (posterior inferior cerebellar,
vertebral, posterior intercostal, subcostal, lumbar, lateral sacral aa.)
pial arterial plexusspinal cord, especially the dorsal columns; medulla (nucleus cuneatus and
nucleus gracilis)
paired; posterior spinal aa. anastomose with the posterior radicular brs.
of the spinal rami of the vertebral, posterior intercostal, subcostal, lumbar
and lateral sacral aa.
subclavianbrachiocephalic a. (right), aortic arch (left)1st part: vertebral a., thyrocervical trunk, internal thoracic a.; 2nd part:
costocervical trunk; 3rd part: dorsal scapular a. (70%)
neck, brain, spinal cord, thyroid gland, larynx, shoulder, chest muscles,
upper limb
subclavian a. is continuous with the axillary a., the name change occurs
at the lateral border of the first rib; anterior scalene muscle passes anterior
to the subclavian a., dividing it into 3 parts
subcostaldescending thoracic aortaspinal br., collateral br., lateral cutaneous br.vertebrae, spinal cord; muscles, skin & fascia of the upper abdominal wallsubcostal a. is equivalent to a posterior intercostal a., but is named subcostal
because it courses inferior to the 12th rib
superior epigastricinternal thoracic a.no named branchesupper rectus abdominis m., upper abdominal wallsuperior epigastric a. is the direct continuation of the internal thoracic
a.; it s anastomoses with the inferior epigastric a. within the rectus abdominis
m.
thoracic, internalsubclavian a. (1st part)pericardiocophrenic a., perforating brs., anterior intercostal aa., mediastinal
brs., thymic brs., musculophrenic a., superior epigastric a.
mediastinum, anterior thoracic wall, anterior abdominal wall, respiratory
diaphragm
internal thoracic a. is also known as: internal mammary a.
thoracic, lateralaxillary a., 2nd partunnamed muscular branchesserratus anterior m., parts of adjacent muscles, skin and fascia of the
anterolateral thoracic wall
lateral thoracic a. is a rare case in that it enters the serratus anterior
from its superficial surface
thoracic, superioraxillary a., 1st partunnamed muscular branchesmuscles of intercostal spaces 1 and 2superior thoracic a. anastomoses with the intercostal aa. for intercostal
spaces 1 and 2
thoracoacromialaxillary a., 2nd partpectoral br., clavicular br., acromial br., deltoid br.pectoralis major m., pectoralis minor m., subclavius m., deltoid m., shoulder
joint
thoracoacromial trunk pierces the costocoracoid membrane
trunk, brachiocephalicaortic archright common carotid a., right subclavian a.right side of the head and neck; right upper limb and right side of the
chest wall
there is only one brachiocephalic trunk
trunk, costocervicalsubclavian a., 2nd partdeep cervical a., highest intercostal a.deep muscles of the posterior neck; posterior ends of the first 2 intercostal
spaces
costocervical trunk is located between the anterior scalene m. and the middle
scalene m.; it arches posteriorly over the cervical parietal pleura
trunk, pulmonaryright ventricleright pulmonary a., left pulmonary aa.lungsthe pulmonary trunk carries deoxygenated blood from the heart to the right
and left pulmonary aa.; each pulmonary a. carries deoxygenated blood to the
hilum of one lung; bronchial aa. supply oxygenated blood to the tissues of
the lung as far distally in the bronchial tree as the respiratory bronchioles
vertebralsubclavian a.(1st part)spinal brs., muscular brs., anterior spinal a., posterior inferior cerebellar
a., medullary brs., meningeal brs., basilar a.
deep neck, cervical spinal cord, spinal cord; medulla (dorsal motor nucleus
of cranial nerve X, nucleus ambiguus, spinal accessory nucleus and hypoglossal
nucleus)
vertebral a. anastomoses with the internal carotid a. in the cerebral arterial
circle (of Willis); it courses through the transverse foramina of vertebrae
C1-C6
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