A. basilaris (c).—This arises by the union of the two vertebral arteries in the manner just described. It passes craniad along the ventral middle line of the medulla and pons, giving numerous small branches to these structures. A large branch, A. cerebelli inferior posterior (d), passes on each side to the caudal surface of the cerebellum, on which it ramifies. At the cranial margin of the pons the basilar artery divides. From each division a very large branch passes on each side across the pedunculi cerebri to the cranial part of the cerebellum; this is A. cerebelli anterior (e). Just craniad of this, arising from nearly the same point, the smaller A. cerebri posterior (f) passes laterad to the caudal part of the cerebrum; it is joined by the internal carotid artery (g). The small continuations of the two halves of A. basilaris then pass craniad at the side of the hypophysis to join the posterior communicating branches from the carotid plexus. As other branches of the carotid plexus unite across the middle line craniad of the optic chiasma, an arterial circle is formed on the base of the brain, surrounding the hypophysis and the optic chiasma. This is known as the circulus arteriosus, or circle of Willis (see [page 289]).

b. A. mammaria interna ([Fig. 118], h).—The internal mammary artery rises from the ventral surface of the subclavian opposite the first rib, and passes in the mediastinum ventrocaudad to reach the sternum opposite the third intercostal space. It sends two or three small branches craniad to the midventral part of the thoracic wall and then extends caudad at the side of the sternum. It sends off lateral branches to the ventral thoracic wall, branches to the mediastinum and pericardium, a branch to the diaphragm which anastomoses with the phrenic; and finally it passes out of the thoracic cavity caudad of the last costal cartilage, extends caudad in a zigzag course at the lateral border of the rectus muscle and anastomoses with the inferior epigastric artery.

c. Truncus costocervicalis ([Fig. 118], g).—The costocervical axis arises from the subclavian opposite the first rib, passes craniodorsad, and divides almost at once into two branches. The smaller one of these, the superior intercostal (A. intercostalis suprema), passes caudad and, dividing, supplies the first and second intercostal spaces, and then passes to the deep muscles of the back. The other branch divides almost immediately into two. One of these, A. transversa colli, passes laterad in front of the first rib and enters the serratus anterior muscle. In this it passes dorsad, giving off branches to this muscle and to the levator scapulæ, till it reaches M. rhomboideus, which it likewise supplies. The other branch (A. cervicalis profunda), which seems to form a continuation of the main artery, passes directly dorsad and leaves the thoracic cavity between the heads of the first and second ribs. Here it passes into the deep muscles of the neck; it can be traced in the substance of the complexus muscle as far forward as the atlas.

d. Truncus thyrocervicalis ([Fig. 118], j).—The thyrocervical axis (or thyroid axis) arises from the subclavian beneath the first rib, a short distance distad of the origin of the costocervical axis. It passes laterocraniad and dorsad, lying on the mediocranial side of the brachial plexus. A short distance from its origin it gives off a branch, varying much in size, the cervicalis ascendens ([Fig. 119], d), which passes craniad on the ventral side of the neck, supplying the sternomastoid, sternohyoid, the cervical portion of the scalenus, and sometimes other muscles of the neck region. Other branches pass from the thyroid axis to the inner surface of the clavotrapezius ([Fig. 122], a) and to the ventral end of the pectoral muscles. At the level of the cranial border of the scapula the artery takes the name A. transversa scapulæ, or suprascapularis. This divides into three main branches. The first branch, sometimes large, sometimes small, passes to the lymphatic gland in the hollow of the shoulder, and to the adjacent muscles; it supplies the clavotrapezius, acromiotrapezius, levator scapulæ ventralis, splenius, occipitoscapularis, and rhomboideus. A second branch passes between the subscapularis and supraspinatus muscles, dividing into various branches which supply the muscles named. The third branch pierces the supraspinatus muscle, just craniad of the acromion process, and ramifies in that muscle.

e. A. axillaris ([Fig. 122], g).—The axillary artery is the continuation of the subclavian laterad of the first rib. It lies caudad of the brachial plexus and parallel to it. It sends off the following branches:

1. A. thoracica anterior ([Fig. 122], h).—The anterior thoracic is a slender artery which leaves the ventral side of the axillary opposite the first rib and passes caudomediad, to supply the medial ends of the pectoral muscles (g).

2. A. thoracica longa (p).—The long thoracic artery is larger than the preceding, leaves the axillary a short distance laterad of it, and passes caudad to the middle portions of the pectoral muscles (8) and continues to the inner surface of the latissimus dorsi.

A short distance beyond the long thoracic the axillary divides into two. The more cranial one of these is the subscapular (l); the other is the brachial (g′).

3. A. subscapularis (l).—The subscapular artery passes laterad and gives off a short distance from its origin the A. thoracicodorsalis (t) and A. circumflexa humeri posterior (see [below]); it may also give rise to the circumflexa anterior humeri (l′), and to the profunda brachii (u); these two branches, however, rise more frequently from the brachial artery (g′) and are [described] in connection with it. The subscapular artery then passes through the triangular interval between the scapular end of the long head of the triceps, the latissimus dorsi, and the glenoid border of the scapula. Within this interval it sends muscular branches to the long head of the triceps, the subscapularis, and the latissimus dorsi. That to the latter muscle is very large. At the border of the scapula, opposite the tuberosity of the spine, it turns craniad, passes over the lateral surface of the infraspinatus muscle, supplying it; crosses the spine, and sends branches into the supraspinatus fossa in both directions parallel to the scapular spine. These supply the supraspinatus, acromiotrapezius, and spinotrapezius, and anastomose with the branches of the transversa scapulæ. As the subscapularis turns craniad onto the surface of the infraspinatus it sends dorsad a small branch, the circumflexa scapulæ, which passes in the infraspinatus fossa close to its glenoid border as far as the glenovertebral angle, supplying the infraspinatus and latissimus dorsi by lateral branches.