Vascular surgery mainly involves arterial surgery and venous surgery, and inevitably, the diagnosis and treatment of many large arterial diseases becomes a difficult challenge for vascular surgery. Thoracic aortic coarctation aneurysm is one of the most aggressive diseases in vascular surgery and is generally divided into two types of stanfordA/B. This disease, which is very aggressive, often occurs in patients with hypertension, atherosclerosis, and trauma. It is mainly due to the tearing of the endothelium of the thoracic aorta caused by the sudden onslaught of strong blood flow, and the patient is highly susceptible to hemorrhage and death within a short period of time if not treated urgently. How to deal with this challenge has been a difficult problem in front of vascular surgeons. There are several cases of thoracic aortic coarctation aneurysm in our hospital every year, and it is a disaster for every family to have this disease, which is different from both tumors and chronic medical diseases, and often starts acutely. It has been described as “like tearing the whole person from the back”. In the past, for this kind of patients, only the implementation of open-heart, cardiac arrest, total aortic replacement after extracorporeal circulation, Director Chen has participated in two such operations, the operation time is up to 12-14 hours, and the patient’s post-operative recovery is not ideal. At the end of the 20th century, a new method of minimally invasive stenting with membrane was invented internationally for the treatment of coarctation aneurysms, and this method, known as a revolutionary method for the treatment of coarctation aneurysms. 2004 onwards, with adequate preparation, our vascular surgery department has successfully performed minimally invasive stenting with membrane for the treatment of stanford B type thoracic aortic coarctation aneurysms in 12 patients one after another, and all of them were successful. Among them were patients with hypertension, patients with car accident trauma, and patients with fall injury. The surgery was performed through a common femoral artery incisional approach, avoiding open heart, hypothermic extracorporeal circulation, and huge trauma. The success of this surgery has established the status of our vascular surgery department in the Jinhua surgical community. In 2010, the Department of Vascular Surgery admitted a patient with abdominal aortic injury, this patient is very special, except for abdominal aortic intimal laceration injury, other abdominal organs are not damaged, there are very few such cases reported in China, through careful preparation, the Department of Vascular Surgery successfully implemented a minimally invasive stent implantation treatment for this patient. Through careful preparation, the vascular surgery department successfully performed a minimally invasive stent implantation with membrane in this patient and the patient is recovering well. There are many other diseases, including abdominal aortic aneurysm, multiple aortitis, etc., a series of difficulties waiting for us to climb over and break through, and in the future, the Department of Vascular Surgery will continue to work hard on the peak of medicine for the benefit of more patients.