The right and left vertebral arteries originate, most commonly, from the corresponding subclavian arteries, without presenting a mediastinal path. The anomalous origin of the right vertebral artery is quite rare, with few cases described in the literature and, in general, it is an incidental finding in imaging studies. The vertebral artery with anomalous origin can present a retroesophageal path, and thus it can be called lusory right vertebral artery.