Aortic coarctation is considered to be an untimely bomb that is at risk of detonation at any time and has a relatively high mortality rate, so it must be treated immediately once detected. Internationally, aortic coarctation is divided into Stanford type A and type B coarctation according to where it occurs. Generally speaking, most patients with type A coarctation require surgery. Aortic coarctation surgery: doctors race against time Aortic coarctation surgery is usually an emergency procedure, often starting at night, and it takes longer than the usual routine surgery. The surgery is very prone to bleeding because when an aortic coarctation forms, the vessel wall is fragile and prone to rupture causing bleeding. The surgery mainly involves removing the torn vessel and suturing a suitable artificial vessel to the remaining relatively normal vessel. However, the sutured area is very susceptible to bleeding after the impact of blood flow. Therefore, precise suturing and effective hemostasis are crucial to the outcome of the procedure. The aorta involves many organs, especially the aortic arch, which is directly responsible for the blood supply to the brain, and an additional minute of delay will result in an additional risk. In addition, the surgery may affect the blood supply to the spinal cord and internal organs, even at the risk of causing paralysis. In order to minimize the risk of neurological and other organ complications, the surgery must be a race against time. The mortality rate of aortic coarctation is relatively high. Early diagnosis and timely surgery can help prevent coarctation rupture and thus save the lives of more patients. Patients should pay attention to the following issues after surgery 1. Avoid strenuous exercise: Generally speaking, after aortic coarctation, try not to do strenuous exercise in the short term. Within three months to six months after surgery, patients should try to be in a relatively stable state so that the artificial blood vessel or stent can fully fit with their own blood vessels. 2. Moderate work: Generally speaking, as long as it is not heavy physical labor, you can go to work after two weeks of rest after discharge, but of course it is quite necessary to rest at the right time in between work. Consult the doctor’s advice for the specific situation. 3, control blood pressure and heart rate: the risk of aortic coarctation in hypertensive patients is itself relatively high, if blood pressure and heart rate are still not well controlled after surgery, then it will still cause damage to the aortic vessel wall, and this situation will easily lead to recurrence of the disease. Older patients with high blood lipids also need lipid-lowering treatment. 4. Regular follow-up: Patients should be followed up regularly after surgery to observe the general physical status and to understand the regression of the entrapment, whether the lesion has progressed, whether the original false lumen is closed and whether the stent position has moved. Although the risk of aortic coarctation is very high, early detection and timely treatment can achieve very good results. Once an acute attack occurs, time is of the essence and it is important to get to the hospital immediately. It is also important to note that treatment of the cause is fundamental to long-term treatment. Hypertension and atherosclerosis are the most important causes of aortic coarctation, so it is important not only to develop good habits in life, quit smoking and drinking, and avoid overexertion, but also to formally treat risk factors for atherosclerosis such as hypertension, diabetes, hyperlipidemia, and regular medical checkups to prevent them before they happen.