The 454A is a fully discrete design, short of the CRT dying, everything is fixable in this scope.
Can you move the trace to the right side of the screen with the horizontal position control?
Carefully inspect the area around the connections to horizontal plates, make sure the wires are still attached and no breaks are visible inside the tube.
If you can, measure the output on the horizontal plates. You'll need a scope that can safely handle signal levels up to 150V with some safety margin. There should be a symmetric opposite polarity ramp on both plates, see figures in the manual.
Assuming this is a horizontal amp problem, check the 10.1k resistors in the output stage, R1073 and R1093, they run hot and often go high resistance.
I've also had transistors fail in this circuit, they're all socketed so you can swap them across to see if the problem follows. Be sure to put them back in their original positions once done.