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Anomalous branching patterns of the thoracoabdominal arteries (TAA), which supply the lower thoracic and upper abdominal walls, are a significant and often under recognized anatomical variation. These variations, ranging from the number of branches to their course, can have important implications for both diagnostic and surgical procedures, including laparotomy, thoracic surgeries, and interventional radiology. This research article provides a detailed review of the known anomalies of the TAA, focusing on their morphological variations, clinical significance, and potential impacts on surgical practice. A thorough understanding of these variations is essential for improving surgical outcomes and minimizing complications in procedures involving the thoracic and abdominal regions.