Short-term and long-term results of linear plasty and endoventriculoplasty with patch for left ventricular aneurysms were analyzed in patients with CHD and chronic heart failure. 195 patients included in the study were divided into two groups: patients from 1 group (n=125) underwent linear resection of left ventricular aneurysm, patients from 2 group (n=70) - endoventriculoplasty. Indices of mortality, 5-year and 10-year survivability, absence of III-IV NYHA heart failure didn't significantly differ between two groups. In long-term period distinctions were only observed for left ventricular sphericity index. It is drawn a conclusion that linear plasty of left ventricle is preferable for patients with small aneurysms that don't lead to significant alterations in ventricular geometry in case of absence or moderate affection of interventricular septum. Endoventriculoplasty with patch is indicated for large akinetic aneurysms, scarry affection of most part of interventricular septum and alteration of left ventricular geometry.