Aortic coarctation is a relatively aggressive disease in vascular surgery, which refers to the tearing of the intima and mesentery of the aorta to form an intermural hematoma, often forming an intramural hematoma from top to bottom, and in severe cases, the coarctation can rupture and kill, so aortic coarctation should be treated aggressively and surgically. There are three types of aortic coarctation. For type I or type II coarctation, which often involves the thoracic aorta, cardiac surgical treatment is required, requiring open-heart ascending aortic replacement. For type III entrapment, which is an entrapment with a rupture distal to the left subclavian artery, vascular surgical intervention with minimally invasive overlapping stent placement is possible. However, the specific surgical method and form of surgery should be judged specifically according to the location of the rupture of the entrapment and the involvement of distal organs, and active surgical treatment should be performed to save lives.