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The right common carotid originates in the neck from the brachiocephalic trunk.
In the majority of abnormal cases it arises with the brachiocephalic trunk; if that artery is absent, the two carotids arise usually by a single trunk.
The thyroidea ima artery arises from the brachiocephalic trunk and ascends in front of the trachea to the lower part of the thyroid gland, which it supplies.
The upper extremity remains pink because the brachiocephalic trunk, left common carotid trunk and the left subclavian trunk is given off proximal to the PDA.
The brachiocephalic artery (or brachiocephalic trunk or innominate artery) is an artery of the mediastinum that supplies blood to the right arm and the head and neck.
On the right side it starts from the brachiocephalic trunk (a branch of the aorta) as the common carotid artery, and on the left side the common carotid artery comes directly off the aortic arch.
To its right side below is the brachiocephalic trunk, and above, the trachea, the inferior thyroid veins, and the remains of the thymus; to its left side are the left vagus and phrenic nerves, left pleura, and lung.
The aortic arch has three major branches: from proximal to distal they are the brachiocephalic trunk, which supplies the right side of the head and neck, as well as the right arm and chest wall, the left common carotid artery, and the left subclavian artery.
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