The =left subclavian= (Fig. 118, _c_) arises from the convexity of the
aortic arch just distad of the origin of the innominate artery, and
about two or three centimeters from the heart. It passes craniad and
slightly to the left, and turns into the left arm just craniad of the
first rib.
The =right subclavian= (Fig. 115, _n_) is a direct continuation of the
innominate, the artery receiving the name subclavian after the right
common carotid is given off, usually at about the level of the second or
third intercostal space.
The subclavian has the following branches: the =vertebral artery= (Fig.
118, _g′_), the =internal mammary= (Fig. 118, _h_), the =costocervical
axis= (Fig. 118, _g_), the =thyrocervical axis= (Fig. 118, _j_). Beyond
the last-named branch it continues into the arm as the =axillary= artery
(Fig. 118, _i_; Fig. 122, _g_).
[Illustration: FIG. 121.--ARTERIES OF THE VENTRAL SURFACE OF THE
BRAIN.
_a_, A. vertebralis; _b_, A. spinalis anterior; _c_, A. basilaris;
_d_, A. cerebelli inferior posterior; _e_, A. cerebelli anterior; _f_,
A. cerebri posterior; _g_, cut ends of the two internal carotid
arteries; _h_, cut ends of branches from the carotid plexus (_g_ and
_h_ are placed within the circulus arteriosus or circle of Willis);
_i_, A. cerebri media; _j_, A. cerebri anterior.]
_a._ =A. vertebralis= (Fig. 118, _g_′).--The vertebral artery arises
from the dorsal surface of the subclavian opposite the first rib. It
passes craniad and dorsad at the side of the thoracic portion of the
longus colli muscle, and enters the foramen transversarium of the sixth
cervical vertebra. It passes thence craniad through the foramina
transversaria (which together form the =vertebrarterial canal=) and
gives off at the intervertebral foramina branches to the muscles of the
neck and branches which pass across the ventral surface of the spinal
cord to join A. spinalis anterior. Craniad of the foramen transversarium
of the atlas the vertebral artery turns dorsad in the groove on the
lateral surface of the atlas. Here it gives off a large branch which
passes laterodorsad to the muscles of the neck and may anastomose with a
branch of the occipital artery. The vertebral artery then passes into
the vertebral canal through the atlantal foramen. It passes to the
ventral side of the spinal cord and unites at about the level of the
foramen magnum with the vertebral artery of the opposite side (Fig. 121,
_a_) to form the =basilar artery (A. basilaris)= (Fig. 121, _c_), which
passes craniad along the ventral middle line of the brain. Just before
their union the two vertebral arteries (_a_) give off each a branch
which passes caudomediad. These two branches soon unite in the middle
line, forming the =anterior spinal artery= (=A. spinalis anterior=)
(_b_), which passes caudad the entire length of the spinal cord, lying
on its ventral middle line and receiving many communicating branches
from the vertebral, intercostal, and lumbar arteries.
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