The thoracoacromial artery (a. thoracoacromialis; acromiothoracic artery; thoracic axis) is a short trunk, which arises from the forepart of the axillary artery.
Its origin being generally overlapped by the upper edge of the Pectoralis minor Projecting forward to the upper border of this muscle, it pierces the coracoclavicular fascia and divides into four branches—pectoral, acromial, clavicular, and deltoid.
The pectoral branch descends between the two Pectorales, and is distributed to them and to the mamma, anastomosing with the intercostal branches of the internal mammary and with the lateral thoracic.
The acromial branch runs lateralward over the coracoid process and under the Deltoideus, to which it gives branches; it then pierces that muscle and ends on the acromion in an arterial network formed by branches from the transverse scapular, thoracoacromial, and posterior humeral circumflex arteries. The clavicular branch runs upward and medialward to the sternoclavicular joint, supplying this articulation, and the Subclavius. The deltoid (humeral) branch, often arising with the acromial, crosses over the Pectoralis minor and passes in the same groove as the cephalic vein, between the Pectoralis major and Deltoideus, and gives branches to both muscles.