Aim: The purpose of the current research was to investigate the vascular pattern of the coronary arteries and their branches in cadavers in order to get a better knowledge of coronary artery disorders. Material and Methods: total of 55 formalin-fixed human heart specimens were obtained from the Department of Anatomy. These specimens were gathered from adults of varying ages, genders, socioeconomic backgrounds, religious affiliations, and levels of education. In order to examine the coronary artery and its branching pattern, the visceral pericardium and subepicardial fat were both taken from the heart. Results: This was the case in all of the hearts studied. If the main artery went through the crux, then the PIV artery was discovered to originate as a branch off of the main artery. It is termed right predominance because the PIV artery got its start from the RCA in 32 (or 58.18%) of the hearts. In 14 of the hearts (25.46%), the PIV artery originates from the circumflex artery, which is a branch of the LCA and is also termed left predominance. In nine (16.36%) of all hearts, the PIV artery originated from both the RCA and the circumflex artery. These were referred to be balanced or co-dominance structures. Conclusion: Arterial pattern and its variations are important to prevent false interpretation of the arterial angiograms in management of coronary artery diseases.