Objective: To analyze of long-term results of surgical treatment of false left ventricular aneurysm (LVA) in patients with complicated forms of coronary heart disease.

Material and methods: From 2008 to 2023, 32 reconstructive interventions were performed in patients with postinfarction LVA in the cardiac surgery department of the Bakoulev Center. There were 26 men and 6 women among the patients, the average age was 61±9.3 years. With an average EuroSCORE II value of 5.63%. Localization of false LVA: in 69% (22 patients) LV was formed after transmural infarction of the lower wall, and in 31% (10 patients) cases false LVA was formed on the anterolateral wall of the left ventricle.

Results: Hospital mortality was 18.7% (n = 6). Small cardiac output syndrome was the main cause of postoperative mortality (4 patients). 2 patients died from acute myocardial infarction in the immediate postoperative period (on days 1 and 9, respectively). Long-term results of surgical treatment in patients with false aneurysm of the left ventricle were studied in 26 patients ranging from 6 months to 15 years (mean follow-up period 6.36±3.81). During the follow-up period of 5 years, 4 patients died. Based on the data obtained, it can be stated that the survival rate without hospital mortality by the 5-year follow-up period was 89.74±5.6%. Survival data considering only cardiac causes of death and without hospital mortality rates: the first year of follow-up was 97.0%, the fifth year was 88.0%. According to clinical data, all patients noted an improvement in their condition after surgery.

Conclusion: The improvement in the clinical status of all patients, as well as satisfactory results of 3- and 5-year survival (92.4% and 91.7%, respectively), indicates the high effectiveness of reconstructive surgery in the complex treatment of patients with coronary heart disease with false aneurysm of the left ventricle.

Islam Akhmadov has completed his Ph.D. at the age of 29 years from A.N. Bakulev National Medical Research Center for Cardiovascular Surgery of the Russian Ministry of Health, Moscow, Russian Federation. He is the surgery of ischemic heart disease surgical treatment in A.N. Bakulev National Medical Research Center for Cardiovascular Surgery of the Russian Ministry of Health. He has over 50 publications that have been cited over 80 times, and his publication h-index is 8. He has been serving as an editorial board member of several reputed journals.