Left brachiocephalic vein (LBCV), one of the major veins draining upper extremity, head and neck region, has rare anatomic variations. Circumaortic type, an extremely uncommon variation, is presented here; this was incidentally detected on computed tomography images. In this case, circumaortic LBCV had two branches; one was normally placed brachiocephalic vein anterior to the aortic arch, and the other one was the anomalous branch with a retroaortic course.