Acute aortic coarctation” is described in medical textbooks as the sudden damage and tearing of the thickest and highest pressure aortic intima in the body due to various reasons, resulting in the formation of a false lumen by the blood entering the arterial intima from the arterial tear, and the artery being separated from the real and false lumen by the impact of blood flow, with the consequence that firstly, the artery eventually ruptures completely and dies, and secondly, the artery is damaged leading to various serious complications or semi-disability. The second is that the artery damage leads to various serious complications or semi-disabled state. In short: the walls of the blood vessels that have been used for decades are aging and brittle, and are destroyed by the long-term high-pressure impact of the blood flow! The most common causes are chronic, persistent uncontrolled or unaware hypertension, followed by severe atherosclerosis, and some connective tissue diseases (e.g., Marfan syndrome), trauma, or other rare factors. There are quite a few famous people in the world who have died from this disease! Zhu Gang, a former Chinese men’s volleyball player, and Hyman, a former famous American women’s volleyball player, both died suddenly from the fatal complications of the disease. It is medically classified as Stanford type A and Stanford type B. The treatment is divided into traditional open surgery and minimally invasive endoluminal repair, as the name implies, “a tire is either replaced or repaired”, but traditional open surgery, such as artificial vessel replacement or endarterectomy decompression, is very traumatic and extremely risky. The various brands and models of endoluminal vascular devices have provided vascular surgeons with powerful weapons at their disposal, which have not only greatly reduced surgical trauma, healing time and postoperative complications, but also made it possible to perfect the treatment of some patients who were originally thought to be incurable. The middle-aged patient mentioned above was successfully discharged from the hospital after our careful preparation and perfect minimally invasive surgery, and returned home satisfied!