Apical ventricular wall tumors can be treated with medications, hemodialysis, or surgery to improve symptoms and protect the myocardium, but they do not allow the patient to fully return to his or her pre-disease state. Ventricular wall tumor is divided into true ventricular wall tumor and pseudo ventricular wall tumor. True ventricular wall tumor is an alteration after myocardial infarction in which the myocardium in the infarcted area is necrotic, fibrotic, and thinned, and the myocardium in the infarcted area expands outward during systole or even diastole of the heart to form what appears to be a tumor. If the ventricular wall myocardium is not completely necrotic, and only loss of ventricular wall motion or paradoxical motion occurs, it is a true functional ventricular wall tumor. Pseudomembranous ventricular wall tumors are formed by rupture of the ventricular wall, thrombus occlusion or adhesion around the rupture, and encapsulation of blood by the pericardium. It has a poor prognosis and requires surgery. Ventricular wall tumors occurring in the apical region of the heart are apical ventricular wall tumors. Ventricular wall tumor is a serious complication after myocardial infarction and can easily lead to thrombosis, heart failure, and arrhythmia. The treatment modalities for true ventricular wall tumors include drug therapy, hemodialysis, and surgery. Pharmacological treatment is based on secondary prevention of coronary heart disease (aspirin, statin lipid-lowering drugs, and blood pressure and blood glucose control drugs if necessary), and the use of β-blockers, such as metoprolol and other drugs for the treatment of heart failure, and anticoagulants, such as rivaroxaban, to prevent thrombosis if necessary; and hemodialysis to improve myocardial blood supply; Surgical resection of ventricular wall tumor can improve the patient’s symptoms and exercise tolerance, but there are surgical risks such as intraoperative death and postoperative infection. Patients with apical ventricular wall tumors need to follow the doctor’s instructions and have regular follow-ups at the hospital.