ABSTRACT
Arterial variations are quite common. Many studies had elaborated variations in branching pattern of subclavianartery. Present study illustrates a unique feature of scalenus anterior muscle having two heads of origin and acommon trunk for internal thoracic artery (ITA) and thyrocervical trunk (TCT). This rare common trunk passesbetween two heads of right scalenus anterior. Such rare variation was not reported so far. The rarity of suchvariation signifies the necessity of the present study. On the left side all branches arose normally from subclavianartery except dorsal scapular artery which originates from second part itself instead of third part which is aquite common variation. The Internal thoracic artery is widely utilized as a great conduit for MyocardialRevascularization. This common truncal origin is of great surgical importance to Cardiothoracic Surgeons,Cardiovascular Surgeons and Interventional Therapy Radiologists.