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=== '''Subclavian artery''' === ** Asymmetric paired arteries that supply blood to the posterior cervical circulation, cerebellum, posterior neck, upper limbs and the chest wall ** Origin *** Right: terminal branch of the brachiocephalic artery *** Left: third branch of the aortic arch ** Course *** Exits the thorax via the superior thoracic aperture between the anterior and middle scalene muscles *** Then passes between the first rib and clavicle to continue as the axillary artery ** Parts *** The vessel can be split into three parts depending on the position in relation to scalenus anterior *** First part (origin to medial border scalenus anterior) **** Vertebral artery, coursing cranially, arising from posterior/superior aspect ***** Ascends behind CCA for 3cm before entering the foramen of the transverse process of C7 ***** Stellate ganglion tends to lie behind it **** Internal thoracic artery, coursing caudally, from inferior surface ***** See separate topic under 'thoracic cavity' **** Thyrocervical trunk, which divides into four branches, from superior surface, opposite internal thoracic origin ***** Inferior thyroid ***** Suprascapular ***** Transverse cervical ***** Ascending cervical *** Second part (posterior to scalenus anterior, as much as 2cm above clavicle) **** Costocervical trunk, which courses cranially before bifurcating into superior intercostal and deep cervical *** Third part (from the lateral border of scalenus anterior to lateral border of first rib) **** Dorsal scapular artery, which courses posteriorly to join the scapular anastomosis ** Branches *** VIT C, D *** Very Indignant Tired Individuals Sip Tasty Almond Coffee Served Double Daily (including branches) ** Variants *** Aberrant right subclavian - arteria lusoria *
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