It depends. Depending on the type of coronary artery anomaly, no treatment may be necessary. For other types of anomalies, surgery may be necessary to reduce the risk of future cardiac events. Consult your cardiologist who should be able to help answer your questions about your specific type of abnormality and potential risks.
Depends. It depends on the kind of anomaly. Some can be treated just by observation and monitoring, some need very tight blood pressure control, and many need surgery.
Depends. If you know you have a coronary artery anomaly (ie, being born with an artery that supplies the heart muscle arising in an atypical location and/or following an abnormal course), I assume you've had an arteriogram? (which is the only way to diagnose it). Most coronary anomalies are benign and require no treatment. A few are potentially lethal and require bypass surgery. The a-gram distinguishes.
Congenital defect. There are multiple congenital abnormalities involving the origin or anatomy of the coronary arteries. Some are benign, others require surgical repair. Undiagnosed coronary artery anomalies may result sudden cardiac death in sports. Fortunately, serious abnormalities occur in less than 1 % of births.
It varies. Some anomalies can be life threatening especially at young age, others are mild and represent nothing more than a normal variation.
It depends. The presence of symptoms, such as chest pain, depends on the type of coronary artery anomaly. Many patients with an anomalous origin or course of a coronary artery are entirely asymptomatic, but some have intermittent chest pain (sometimes during or immediately after strenuous exercise). Many anomalies are benign, but some require surgery because of an increased risk of sudden cardiac death.
Genetic. You are born with this.
Anomaly. Happens during embryonic development and random 1 in 10000 births.
Scared of having congenital coronary artery anomaly, had cardiac mri, left artery perfect and they said 90% sure the right. Image quality bad. Trust it?
Nothing abnormal... So far, and the physician who read the cardiac MRI study is 90% confident 1 coronary is fine, and 100% confident the other one is. You need to discuss this with your physician, but you will never get 100% accuracy or agreement in medicine. You will have to accept some level of uncertainty based on your unique situation - your doctor will have the most insight as to your residual risk.
Ask Your MD. The image quality can only be determined by someone looking at the actual images. I would discuss these concerns with your physician. They may be able to reassure you or they may suggest additional testing if indicated. Mri does have the ability to see the coronaries well, but the actual quality varies in every case.
Cardiology. Repeat or additional testing depends on your underlying symptoms and risk for cardiac disease. I would suggest discussing your history of chest pain and family history of cardiac problems with your cardiologist. In younger patients, cardiac causes of chest pain account for 4-6 percent of all cases.