In general, the prognosis for asymptomatic chronic ventricular wall aneurysms is relatively good and surgical treatment is generally not required. However, asymptomatic patients with severe coronary artery disease should be treated surgically. The indications for surgery are: (1) angina pectoris; (2) congestive heart failure; (3) ventricular arrhythmias; and (4) thromboembolic symptoms or confirmed left ventricular appendage thrombosis. Studies have shown that surgical treatment of patients with these symptoms is significantly better than the long-term efficacy of drug therapy.