axillary vessels

Axillary artery

·      continuation of 3rd part of subclavian a

·      enters apex of axilla by passing over 1st digitation of serratus anterior

·      at outer border of 1st rib

·      behind midpoint of clavicle

·      becomes brachial a at lower border of teres major

·      divided into 3 parts by pectoralis minor

·      1st part above

·      2nd part behind (clasped by cords of brachial plexus)

·      3rd part below

Branches

·      from 1st part

·      superior thoracic a

·      from 2nd part

·      thoracoacromial a

·      lateral thoracic a

·      from 3rd part

·      subscapular a

·      anterior circumflex humeral a

·      posterior circumflex humeral a

Superior thoracic artery

·      runs forwards

·      supplies both pectoral mm

Thoracoacromial artery

·      passes above pectoralis minor

·      pierces clavipectoral fascia

·      divides into 4 branches

·      Clavicular

·      Humeral

·      Acromial

·      Pectoral

Lateral thoracic artery

·      follows inferior border of pectoralis minor

·      runs on fascia of serratus anterior

·      supplies pectoral mm

Subscapular artery

·      runs down posterior axillary wall

·      gives off dorsal branch

·      circumflex scapular artery

·      passes through posterior wall of axilla through triangular space

·      changes name to thoracodorsal artery

·      runs to lat dorsi

Anterior circumflex humeral artery

·      runs deep to coracobrachialis and biceps

·      gives off branch that runs up bicipital groove

·      passes around surgical neck of humerus

·      anastomoses with posterior circumflex humeral a

Posterior circumflex humeral artery

·      passes through posterior axillary wall

·      through quadrilateral space

·      accompanied by axillary nerve

·      anastomoses with

·      anterior circumflex humeral a

·      profunda brachii a

Axillary vein

·      formed by

·      venae comitantes of brachial a

·      basilic vein

·      course up medial side of artery

·      leaves axilla and continues as subclavian v

·      tributaries same as artery in 2nd and 3rd part

·      in first part, joined by cephalic vein