Costocervical trunk

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Artery: Costocervical trunk
The internal carotid and vertebral arteries. Right side. (Costo-cervical labeled at bottom left.)
Latin	truncus costocervicalis
Gray's	subject #148 585
Source	subclavian
Branches	deep cervical highest intercostal
Dorlands / Elsevier	t_20/12826003

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The costocervical trunk arises from the upper and back part of the subclavian artery, behind the scalenus anterior on the right side, and medial to that muscle on the left side.

Passing backward, it splits into the deep cervical artery and the supreme intercostal artery (or the Highest intercostal artery), which descends behind the pleura in front of the necks of the first and second ribs, and anastomoses with the first aortic intercostal (3rd posterior intercostal artery).

As it crosses the neck of the first rib it lies medial to the anterior division of the first thoracic nerve, and lateral to the first thoracic ganglion of the sympathetic trunk.

In the first intercostal space, it gives off a branch which is distributed in a manner similar to the distribution of the aortic intercostals.

The branch for the second intercostal space usually joins with one from the highest aortic intercostal artery.

This branch is not constant, but is more commonly found on the right side; when absent, its place is supplied by an intercostal branch from the aorta.

Each intercostal gives off a posterior branch which goes to the posterior vertebral muscles, and sends a small spinal branch through the corresponding intervertebral foramen to the medulla spinalis and its membranes.

Branches

• Deep cervical artery
• Supreme intercostal artery

External links

• -19922887 at GPnotebook

This article was originally based on an entry from a public domain edition of Gray's Anatomy. As such, some of the information contained herein may be outdated. Please edit the article if this is the case, and feel free to remove this notice when it is no longer relevant.

v • d • e List of arteries of torso - chest
Pulmonary / coronary	right coronary: SA nodal - AV nodal - atrial - right marginal - posterior interventricular left coronary: anterior interventricular - left circumflex - left marginal
Ascending aorta	aortic arch - brachiocephalic (thyreoidea ima) - common carotid
Subclavian	internal thoracic: anterior intercostal - thymic - pericardiacophrenic - terminal (musculophrenic, superior epigastric) costocervical trunk: highest intercostal (posterior intercostal 1-2) - deep cervical
Descending / thoracic aorta	visceral: bronchial - esophageal - mediastinal parietal: posterior intercostal 3-11 - subcostal - superior phrenic

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Some of the initial content on this page may be incorporated in part from copyleft sources in the public domain including wikis such as Wikipedia and AskDrWiki. Drug information for patients came from the The National Library of Medicine. Infectious disease information may have come from the Centers for Disease Control (CDC). Differential Diagnoses are drawn from clinicians as well as an amalgamation of 3 sources: 1.The Disease Database; 2. Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:3; 3. Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:7 .