The intercostal arteries are a group of

arteries An artery (plural arteries) () is a blood vessel in humans and most animals that takes blood away from the heart to one or more parts of the body (tissues, lungs, brain etc.). Most arteries carry oxygenated blood; the two exceptions are the pul ...

that supply the area between the

ribs The rib cage, as an enclosure that comprises the ribs, vertebral column and sternum in the thorax of most vertebrates, protects vital organs such as the heart, lungs and great vessels. The sternum, together known as the thoracic cage, is a semi- ...

("costae"), called the

intercostal space The intercostal space (ICS) is the anatomic space between two ribs (Lat. costa). Since there are 12 ribs on each side, there are 11 intercostal spaces, each numbered for the rib superior to it. Structures in intercostal space * several kinds ...

. The highest intercostal artery (supreme intercostal artery or superior intercostal artery) is an artery in the human body that usually gives rise to the first and second

posterior intercostal arteries The intercostal arteries are a group of arteries that supply the area between the ribs ("costae"), called the intercostal space. The highest intercostal artery (supreme intercostal artery or superior intercostal artery) is an artery in the human ...

, which supply blood to their corresponding

. It usually arises from the

costocervical trunk The costocervical trunk arises from the upper and back part of the second part of 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 cervica ...

, which is a branch of the

subclavian artery In human anatomy, the subclavian arteries are paired major arteries of the upper thorax, below the clavicle. They receive blood from the aortic arch. The left subclavian artery supplies blood to the left arm and the right subclavian artery supplie ...

. Some anatomists may contend that there is no supreme intercostal artery, only a supreme intercostal vein. The anterior intercostal branches of internal thoracic artery supply the upper five or six

intercostal spaces The intercostal space (ICS) is the anatomic space between two ribs (Lat. costa). Since there are 12 ribs on each side, there are 11 intercostal spaces, each numbered for the rib superior to it. Structures in intercostal space * several kinds ...

. The

internal thoracic artery In human anatomy, the internal thoracic artery (ITA), previously commonly known as the internal mammary artery (a name still common among surgeons), is an artery that supplies the anterior chest wall and the breasts. It is a paired artery, with on ...

(previously called as internal mammary artery) then divides into the superior epigastric artery and

musculophrenic artery The intercostal arteries are a group of arteries that supply the area between the ribs ("costae"), called the intercostal space. The highest intercostal artery (supreme intercostal artery or superior intercostal artery) is an artery in the human ...

. The latter gives out the remaining anterior intercostal branches. Two in number in each space, these small vessels pass lateralward, one lying near the lower margin of the

rib In vertebrate anatomy, ribs ( la, costae) are the long curved bones which form the rib cage, part of the axial skeleton. In most tetrapods, ribs surround the chest, enabling the lungs to expand and thus facilitate breathing by expanding the ches ...

above, and the other near the upper margin of the rib below, and

anastomose An anastomosis (, plural anastomoses) is a connection or opening between two things (especially cavities or passages) that are normally diverging or branching, such as between blood vessels, leaf veins, or streams. Such a connection may be normal ...

with the posterior intercostal arteries from the thoracic

aorta The aorta ( ) is the main and largest artery in the human body, originating from the left ventricle of the heart and extending down to the abdomen, where it splits into two smaller arteries (the common iliac arteries). The aorta distributes ...

. They are at first situated between the

pleurae The pulmonary pleurae (''sing.'' pleura) are the two opposing layers of serous membrane overlying the lungs and the inside of the surrounding chest walls. The inner pleura, called the visceral pleura, covers the surface of each lung and dips be ...

and the

intercostales interni The internal intercostal muscles (intercostales interni) are a group of skeletal muscles located between the ribs. They are eleven in number on either side. They commence anteriorly at the sternum, in the intercostal spaces between the cartilages ...

, and then between the intercostales interni and innermost. They supply the

intercostal muscles Intercostal muscles are many different groups of muscles that run between the ribs, and help form and move the chest wall. The intercostal muscles are mainly involved in the mechanical aspect of breathing by helping expand and shrink the size ...

and, by branches which perforate the

intercostales externi The external intercostal muscles, or external intercostals (Intercostales externi) are eleven in number on both sides. Structure The muscles extend from the tubercles of the ribs behind, to the cartilages of the ribs in front, where they end ...

, the

pectoral muscles Pectoral muscles (colloquially referred to as "pecs") are the muscles that connect the front of the human chest with the bones of the upper arm and shoulder. This region contains four muscles that provide movements to the upper limbs or ribs. Pe ...

and the

mamma Mama(s) or Mamma or Momma may refer to: Roles *Mother, a female parent *Mama-san, in Japan and East Asia, a woman in a position of authority *Mamas, a name for female associates of the Hells Angels Places *Mama, Russia, an urban-type settlement ...

. The musculophrenic artery arises from the

, directed obliquely downward and laterally, behind the

cartilage Cartilage is a resilient and smooth type of connective tissue. In tetrapods, it covers and protects the ends of long bones at the joints as articular cartilage, and is a structural component of many body parts including the rib cage, the neck an ...

s of the

false ribs The rib cage, as an enclosure that comprises the ribs, vertebral column and sternum in the thorax of most vertebrates, protects vital organs such as the heart, lungs and great vessels. The sternum, together known as the thoracic cage, is a semi-r ...

; it perforates the diaphragm at the eighth or ninth costal cartilage, and ends, considerably reduced in size, opposite the last

. It gives off intercostal branches to the seventh, eighth, and ninth intercostal spaces; these diminish in size as the spaces decrease in length, and are distributed in a manner precisely similar to the intercostal arteries from the

. The musculophrenic artery also gives branches to the lower part of the

pericardium The pericardium, also called pericardial sac, is a double-walled sac containing the heart and the roots of the great vessels. It has two layers, an outer layer made of strong connective tissue (fibrous pericardium), and an inner layer made of ...

, and others which run backward to the diaphragm, and downward to the abdominal muscles. The posterior intercostal arteries are arteries that supply blood to the intercostal spaces. There are eleven posterior intercostal arteries on each side. * The 1st and 2nd posterior intercostal arteries arise from the supreme intercostal artery, a branch of the

of the

. * The lower nine arteries are the ''aortic intercostals'', so called because they arise from the back of the

thoracic aorta The descending thoracic aorta is a part of the aorta located in the thorax. It is a continuation of the aortic arch. It is located within the posterior mediastinal cavity, but frequently bulges into the left pleural cavity. The descending thoracic ...

. The right aortic intercostals are longer than the left because of the position of the aorta on the left side of the vertebral column; they pass across the bodies of the

vertebrae The spinal column, a defining synapomorphy shared by nearly all vertebrates,Hagfish are believed to have secondarily lost their spinal column is a moderately flexible series of vertebrae (singular vertebra), each constituting a characteristic i ...

behind the

esophagus The esophagus (American English) or oesophagus (British English; both ), non-technically known also as the food pipe or gullet, is an organ in vertebrates through which food passes, aided by peristaltic contractions, from the pharynx to the ...

thoracic duct In human anatomy, the thoracic duct is the larger of the two lymph ducts of the lymphatic system. It is also known as the ''left lymphatic duct'', ''alimentary duct'', ''chyliferous duct'', and ''Van Hoorne's canal''. The other duct is the right ...

, and

azygos vein The azygos vein is a vein running up the right side of the thoracic vertebral column draining itself towards the superior vena cava. It connects the systems of superior vena cava and inferior vena cava and can provide an alternative path for blood ...

, and are covered by the right

lung The lungs are the primary organs of the respiratory system in humans and most other animals, including some snails and a small number of fish. In mammals and most other vertebrates, two lungs are located near the backbone on either side of t ...

and

pleura The pulmonary pleurae (''sing.'' pleura) are the two opposing layers of serous membrane overlying the lungs and the inside of the surrounding chest walls. The inner pleura, called the visceral pleura, covers the surface of each lung and dips bet ...

. The left aortic intercostals run backward on the sides of the vertebrae and are covered by the left

and

; the upper two vessels are crossed by the left

superior intercostal vein The superior intercostal veins are two veins that drain the 2nd, 3rd, and 4th intercostal spaces, one vein for each side of the body. Right superior intercostal vein The right superior intercostal vein drains the 2nd, 3rd, and 4th posterior interc ...

, the lower vessels by the

hemiazygos vein The hemiazygos vein (vena azygos minor inferior) is a vein running superiorly in the lower thoracic region, just to the left side of the vertebral column. Structure The hemiazygos vein and the accessory hemiazygos vein, when taken together, essen ...

. Opposite the heads of the ribs, the

sympathetic trunk The sympathetic trunks (sympathetic chain, gangliated cord) are a paired bundle of nerve fibers that run from the base of the skull to the coccyx. They are a major component of the sympathetic nervous system. Structure The sympathetic trunk lies j ...

passes downward in front of them, and the

splanchnic nerves The splanchnic nerves are paired visceral nerves (nerves that contribute to the innervation of the viscera, innervation of the internal organs), carrying fibers of the autonomic nervous system (visceral efferent fibers) as well as sensory fibers fr ...

also descend in front by the lower arteries. Each artery then divides into an anterior and a posterior ramus. A given posterior intercostal artery travels along the bottom of the rib with its corresponding posterior intercostal vein, as well as the

intercostal nerve The intercostal nerves are part of the somatic nervous system, and arise from the anterior rami of the thoracic spinal nerves from T1 to T11. The intercostal nerves are distributed chiefly to the thoracic pleura and abdominal peritoneum, and diffe ...

of the given space. The vein is superior to the artery, and the intercostal nerve is inferior to it. Commonly, the mnemonic, "Van," is used to recall the order of the vein, artery and nerve, from superior to inferior.

References

External links

* - "

Thoracic wall The thoracic wall or chest wall is the boundary of the thoracic cavity. Structure The bony skeletal part of the thoracic wall is the rib cage, and the rest is made up of muscle, skin, and fasciae. The chest wall has 10 layers, namely (from s ...

: Branches of the Internal Thoracic Artery" * http://www.instantanatomy.net/thorax/vessels/aupperintercostalarteries.html * - "Branches of the ascending aorta, arch of the aorta, and the descending aorta." * () * {{Authority control Arteries of the thorax Medical mnemonics

See also

References

External links