目的　完善左室室壁瘤的手术治疗。方法　 2 8例左室室壁瘤病人在全麻低温体外循环下行单纯室壁瘤心外折迭术 1例 ,室壁瘤切除后三明治缝合术 2 0例 ,心腔内成形术 7例。所有病例术中均行冠状动脉旁路移植术 ,人均搭桥 3.1± 1.2支。其中左室壁激光心肌再血管化 15例 ,人均打孔 2 9.8± 9.5个。结果　 2 7例手术成功 ,手术死亡 1例 ,术后低心排 5例。心绞痛明显缓解 ,心功能得以改善。结论　左室重建 ,冠脉搭桥和激光打孔并用可提高疗效 Objective To improve the surgical treatment of left ventricular aneurysm. Methods Twenty-eight patients with left ventricular aneurysm underwent cardiopulmonary bypass undergoing general anesthesia with hypothermic cardiopulmonary bypass. One patient underwent simple heart wall aneurysm surgery, 20 patients underwent aneurysm suturing after resection of aneurysm, and 7 patients underwent endocardial angioplasty. All patients underwent coronary artery bypass grafting, per capita bypass 3.1 ± 1.2. Among them, 15 cases were revascularized by laser myocardium in the left ventricular wall, and 2 9.8 ± 9.5 per capita perforation. Results Twenty-seven cases were successful in operation, 1 died in operation and 5 cases had low cardiac output. Angina significantly relieved, heart function can be improved. Conclusions Left ventricular remodeling, coronary artery bypass grafting and laser drilling can improve the curative effect