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Each posterior intercostal artery travels along the bottom of the rib alongside its corresponding posterior intercostal vein and intercostal nerve; the vein is superior to the artery, and the nerve is inferior to it. The mnemonic "VAN" is commonly used to recall their order from superior to inferior.
Twelve anterior intercostal branches, two to each of the top six intercostal spaces. In a given space, the upper branch travels laterally along the bottom of the rib until it anastomoses with its corresponding posterior intercostal artery. The lower branch of the space anastomoses with a collateral branch of the posterior intercostal artery.
The posterior intercostal veins are veins that drain the intercostal spaces posteriorly. They run with their corresponding posterior intercostal artery on the underside of the rib, the vein superior to the artery. Each vein also gives off a dorsal branch that drains blood from the muscles of the back.
Segmental medullary arteries are arteries of varying size in the thoracolumbar region that arise from segmental arteries of this region (posterior intercostal arteries or lumbar arteries) and pass through intervertebral foramina to supply the spinal cord. [1] They may join the anterior spinal artery. [2]
It typically arises from a 9th to 12th left posterior intercostal artery, [5] enters through the L2-L3 intervertebral foramen to join the anterior spinal artery and supply much of the inferior half of the spinal cord. [6] The artery is named after pathologist Albert Wojciech Adamkiewicz.
Passing backward, it splits into the deep cervical artery and the supreme intercostal artery (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).
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The perforating branches of the internal thoracic artery pierce through the internal intercostal muscles of the superior six intercostal spaces. These small arteries run with the anterior cutaneous branches of the intercostal nerves. The perforating arteries constitute part of the blood supply to the pectoralis major and the overlying tissue ...