Mnemonic

Intercostal Artery Origins

A memory aid for where the anterior and posterior intercostal arteries come from.

Expansion

Posterior intercostals from the aorta; anterior intercostals from the internal thoracic and musculophrenic arteries

Expansion

Posterior intercostal arteries

  • Spaces 1 and 2 - superior intercostal artery, from the costocervical trunk
  • Spaces 3 to 11 - directly from the descending thoracic aorta
  • Below rib 12 - the subcostal artery

Anterior intercostal arteries

  • Spaces 1 to 6 - from the internal thoracic artery
  • Spaces 7 to 9 - from the musculophrenic artery
  • Spaces 10 and 11 - no anterior intercostal artery

Because each space is supplied from both ends, the anastomosis between them is a potential collateral channel. In aortic coarctation this pathway enlarges and the dilated, tortuous posterior intercostal arteries erode the undersurface of the ribs to produce rib notching.