Hypertension is known as the most common cardiovascular disease in the world and one of the largest epidemics, especially middle-aged male hypertensive patients should beware of clinically induced aneurysms. According to the report, the incidence of hypertension in China shows two characteristics: firstly, the trend of younger people is rising, and secondly, the number of patients with unstable hypertension is increasing, which makes it easier to lead to the occurrence of a clogged aneurysm, and this is the main reason why the incidence of clogged aneurysm in China has increased significantly. According to statistics, 80% to 90% of the patients with a coarctation aneurysm have hypertension, and generally have a history of hypertension for 10 to 15 years at the time of onset. Continued elevation of blood pressure will further promote the occurrence and development of aortic atherosclerosis, and severe atherosclerotic plaques will aggravate the degeneration and destruction of the aortic mesentery. On top of aortic degeneration, high-pressure blood flow continuously impinges on the arterial wall, eventually leading to tearing of the intima and intima and the formation of a coarctation aneurysm. Hypertension plays the most direct pathogenic role in the development of most clogged aneurysms. Clogged aneurysms are silent killers of hypertension that threaten life, manifested as follows: Ischemic and compression manifestations: When clogged aneurysms occur, they often affect the blood supply of aortic branch vessels, including the brain, heart, intestines, kidneys, and extremities, and can cause ischemia, dysfunction, and even functional failure of these organs. Commonly, these include cerebral infarction, heart attack, abdominal pain, blood in the stool, oliguria, limb pulselessness, weak or painful pulse, etc. In addition, the tumor and hematoma may also compress adjacent organs and cause corresponding compression symptoms, such as hoarseness, dyspnea, and asthma. Chest and back pain: In 90% of patients with acute onset of aortic coarctation aneurysm (intimal tear), sudden onset of severe pain in the precordial region, thoracic back, low back or abdomen. The pain often occurs with certain sudden movements, such as lifting heavy objects, playing basketball and during abnormal excitement, and can be triggered by yawning, coughing and straining to defecate. The pain is like a cut or tear, radiating distally from the back of the sternum or the back of the chest along the aorta. Patients are often irritable, sweating profusely, feeling near death, or even fainting due to the pain. If the patient survives the acute phase, the chest and back pain may gradually disappear or turn into vague pain after a few days. Rupture of a coarctation aneurysm: The main risk of a coarctation aneurysm is rupture and hemorrhage, and about half of the patients die in the acute phase of the disease. For this reason, a coarctation aneurysm is often referred to as an “untimely bomb” in the human body. Due to the high incidence of thoracic aortic coarctation aneurysms and the lack of precursors, many patients die suddenly within two to three minutes after the onset of the disease and cannot be rescued. Therefore, if you have severe chest pain in daily life, you must go to the hospital for a comprehensive examination. Currently, non-invasive examinations are available through CT, MRI and ultrasound. It is important to be alert to the fact that thoracic aortic coarctation aneurysms are often misdiagnosed, mainly because patients with chest pain do not take it seriously and do not undergo relevant examinations, and are finally misdiagnosed as heart attack or angina pectoris, and when they wait until the onset of the disease, they can no longer be treated. Therefore, middle-aged hypertensive patients are reminded that if they have severe chest, abdominal and back pain and uncontrollable hypertension in daily life, they must go to the hospital for relevant examinations to avoid being misdiagnosed. There is no effective drug for treating a coarctation aneurysm, and surgery is the only effective method to prevent rupture of a coarctation aneurysm. Endoluminal isolation is the best method to treat thoracic aortic coarctation aneurysm, which is regarded as a revolution in the history of surgical treatment of thoracic aortic coarctation aneurysm. Many hospitals have carried out this operation with high success rate and little pain for patients.