In the submitted case-history the author describes a patient who 15 years previously underwent after an extensive myocardial infarction with rupture of the interventricular septum and a left ventricular aneurysm a plastic operation of the interventricular rupture and aneurysmectomy. This man, at present 70 years old, lives without any significant restrictions. The author advocates an active, intensive and aggressive diagnostic and therapeutic approach in all thus vitally threatened patients for whom this arsenal offers a much greater hope for extension and improvement of life than the classical conservative therapy.

        Key words: Myocardial infarction - Rupture of interventricular septum - Resection of left ventricular aneurysm