Coronary heart disease has one of the leading places in the structure of cardiovascular diseases. Post-infarction left ventricular aneurysm significantly aggravates the prognosis of coronary heart disease. The main goals of surgical treatment of postinfarction left ventricular aneurysm are the maximal removal of asynergia areas and restore of correct geometry of left ventricle. Choice of left ventricular plasty technique should be individual for each patient based on instrumental examination data. Considering disadvantages of echocardiographic preoperative left ventricular modeling, attempts to model the left ventricular cavity via magnetic resonance imaging are developing at present time. Development of algorithms of left ventricular modeling by magnetic resonance imaging will optimize left ventricular reconstructive techniques and will help to avoid unfounded correction in some cases.