Background: Any disturbance of the functional cardiac anatomy will impair ventricular function and cardiac output. Myocardial infarction causes affected area to be no longer functioning where the non-infarcted myocardium become spherical in shape and thinning of the myocardium with its global systolic function worsens. It has been postulated that surgical ventricular reconstruction for patients with ventricular dysfunction after an infarction for either left ventricular akinesia or dyskinesia results in better clinical outcome than conservative medical treatment. The reason is the focus of this procedure on restoring the physiological dimensions of the remodelled ventricle by excluding non-contracting segments of the heart, including the scarred septum, replacing the area with an endoventricular patch to redirect normal muscle orientation, and reducing ventricular size, wall tension and volume. Aim of the Work: Is to evaluate the early outcome of surgical ventricular restoration, in aspects of survival and functional status. Patients and Methods: Mortality, cardiac function, functional status and short-term survival were retrospectively analyzed in cohort of twenty five patients with ischemic heart disease with ventricular aneurysm or scar after a myocardial infarction who underwent surgical ventricular reconstruction. Results: All patients underwent CABG concomitantly with SVR. The hospital mortality rate was 4%. Early postoperative complications were in average rate. NYHA functional class improved from 3±0.6 preoperatively to 1.42±0.5 at 6 months follow-up. Echocardiographically, EF% increased from 31.2±4.4 to 40.5±5.7% and left ventricular EDVI & ESVI were reduced from 110.04±7.26 ml/m2 and 75.6±6.99 ml/m2 to 51.75±2.42 ml/m2 and 30.79±2.87 ml/m2, respectively. Conclusion: Surgical ventricular reconstruction using endoventricular patch plasty technique could be a good choice of treatment in patients with depressed left ventricular function after anterior myocardial infarction.