Aberrant origination of the vertebral arteries is a rare phenomenon, and those involving the right vertebral artery are exceedingly rare. In this case report, we present the third documented case of an aberrant right vertebral artery originating directly from the descending thoracic aorta, and the first case where there is a simultaneous aberrant left vertebral artery arising from the aortic arch. Anatomical background, embryological development, and potential pathological presentations in addition to clinical considerations unique to our case are discussed as well.
Cite this article as: Qiao Y, Rabiei P, Ocasio L, Ferguson E. Aberrant right vertebral artery originating from the descending thoracic aorta, with simultaneous left vertebral artery takeoff from the aortic arch. Imaging Interv. 2021;1(2):47-50.