An atherosclerotic aortic arch aneurysm associated with a common origin for both carotid arteries is a rare condition. An aberrant right subclavian artery is just as rare, especially with a retroesophageal course. A combination of these two conditions, we believe, has never been reported.
Namhee Park et al. (2009). Aortic Arch Aneurysm Associated with Arch Vessel Anomalies: Truncus Bicaroticus and Retroesophageal Right Subclavian Artery. Journal of Cardiac Surgery, 24(4), 476–479–476–479. doi: 10.1111/j.1540-8191.2009.00891.x