“…Without prior imaging, such as coronary computed tomography angiography (CCTA), interventionalists may face difficulties navigating such variations. For example, in one case where a patient underwent catheterization of an anomalous RCA originating adjacent to the left coronary cusp, it was challenging to maneuver into the vessel due to its superior takeoff and anterior origin [ 14 ]. Similarly, with the anomaly seen in this case, procedural difficulties could arise due to the presence of the carina-like septum dividing the short trunk into two vessels within the common right coronary ostium.…”