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Internal thoracic artery

The internal thoracic artery is a branch of the subclavian artery that runs down the inside of the chest wall. In Anatomy and Physiology I, it is a major blood supply route for the anterior chest wall and breasts.

Last updated July 2026

What is the internal thoracic artery?

The internal thoracic artery is a major artery in Anatomy and Physiology I that branches from the subclavian artery and descends along the inside of the anterior chest wall. You may also see the older name internal mammary artery, but internal thoracic artery is the preferred term.

Its path matters as much as its name. After arising near the base of the neck, it travels downward behind the upper ribs and sternum, staying close to the inside of the chest wall. Because of that location, it is well placed to supply structures in the front of the thorax without joining the main arteries that feed the arms.

This artery gives off anterior intercostal branches that supply the intercostal spaces, along with branches to the sternum, pericardium, and the front chest wall. It also contributes blood to the breasts through mammary branches. That distribution is why the vessel shows up when you study circulation in the thoracic region, not just the heart itself.

A good way to picture it is as a vertical feeder on the inside of the rib cage. The subclavian artery sends blood into the upper thorax, and the internal thoracic artery carries that flow downward to tissues along the sternum and ribs. In lab diagrams, it is often easier to spot by tracing it from the subclavian artery toward the lower anterior chest instead of trying to memorize every small branch first.

The internal thoracic artery also becomes useful when you connect anatomy to clinical stories. Surgeons may use it as a graft in coronary bypass procedures because it is a reliable artery with strong flow. That does not change its basic anatomy, but it shows why knowing its origin, route, and branches matters beyond simple labeling.

Why the internal thoracic artery matters in Anatomy and Physiology I

The internal thoracic artery shows how blood reaches the chest wall, not just the heart and lungs. In circulatory pathway units, that matters because you are not only tracing the big loops of blood flow, you are also learning the smaller arterial branches that keep regional tissues alive.

This term also helps you read anatomy diagrams more accurately. If you can identify the subclavian artery first, you can usually follow the internal thoracic artery downward and connect it to the anterior intercostal arteries. That makes chest wall vascular maps much less random.

It also gives you a clean example of how naming in anatomy works. The older term internal mammary artery still appears in some materials, so recognizing both names keeps you from missing the same structure under a different label. In a course with lots of terminology, that kind of flexibility saves time on quizzes and lab practicals.

Finally, the vessel connects structure to function. Its route along the inside of the sternum explains why it can supply the front chest wall and why it is clinically useful in bypass surgery. That connection between location and blood supply is exactly the kind of reasoning Anatomy and Physiology I expects you to make.

Keep studying Anatomy and Physiology I Unit 20

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How the internal thoracic artery connects across the course

Subclavian Artery

The internal thoracic artery begins as a branch of the subclavian artery, so you usually trace it from the upper chest and neck region first. If you know the subclavian artery’s location, you can place the internal thoracic artery in the correct starting point instead of confusing it with vessels that come from the aorta.

Anterior Intercostal Arteries

These are branches associated with the internal thoracic artery and they supply the spaces between the ribs on the front side. When you study the chest wall, this relationship helps you connect one larger vessel to the smaller arteries that actually feed the intercostal muscles and tissues.

Coronary Arteries

Both the internal thoracic artery and the coronary arteries are relevant when you talk about blood supply in the chest, but they serve different targets. The coronary arteries feed the heart muscle itself, while the internal thoracic artery mainly serves the chest wall and breasts, even though it can be used in bypass surgery.

aortic arch

The aortic arch is part of the larger arterial system that gives rise to major vessels heading into the upper body. Comparing it with the subclavian artery helps you keep your branching patterns straight, especially when tracing how blood gets from the heart to the thorax and upper limbs.

Is the internal thoracic artery on the Anatomy and Physiology I exam?

A quiz image or lab practical may ask you to identify the internal thoracic artery on a thorax diagram, often by asking where it branches from and what it supplies. You might also need to trace blood flow from the subclavian artery to the anterior chest wall or match the artery with the sternum, intercostal spaces, or breast tissue.

In short-answer questions, the safest move is to name its origin, path, and target tissues. If a question mentions the old term internal mammary artery, you should know it means the same structure. If the class covers clinical examples, you may also see it mentioned as a vessel used in coronary bypass grafting, so be ready to connect anatomy to a real procedure.

Key things to remember about the internal thoracic artery

  • The internal thoracic artery is a branch of the subclavian artery that runs down the inside of the chest wall.

  • It supplies the anterior chest wall, sternum region, intercostal spaces, and breast tissue through smaller branches.

  • Older sources may call it the internal mammary artery, but the anatomy is the same.

  • Its location makes it easy to trace on diagrams if you start at the subclavian artery and follow the vessel downward behind the sternum.

  • In Anatomy and Physiology I, this artery shows how major vessels give off regional branches to serve nearby tissues.

Frequently asked questions about the internal thoracic artery

What is the internal thoracic artery in Anatomy and Physiology I?

It is a branch of the subclavian artery that runs along the inside of the chest wall. In anatomy class, you study it as a vessel that supplies the anterior chest wall, sternum area, intercostal spaces, and breasts.

Is the internal thoracic artery the same as the internal mammary artery?

Yes, those names refer to the same artery. Internal thoracic artery is the preferred modern term, but some texts and diagrams still use internal mammary artery, so it helps to recognize both.

What does the internal thoracic artery supply?

It supplies structures in the front of the thorax, including the chest wall, sternum, and nearby intercostal spaces. It also gives branches that contribute blood to the breasts.

How do you identify the internal thoracic artery on a diagram?

Start at the subclavian artery, then look for a branch that descends vertically along the inner chest wall near the sternum. If you can follow it downward and see branches toward the intercostal spaces, you are probably looking at the internal thoracic artery.

Internal Thoracic Artery | Anatomy and Physiology I | Fiveable