Sedation, analgesia, continuous monitoring and supportive therapy should be given rapidly in the acute phase of a coarctation aneurysm, and medications should be used to control blood pressure and heart rate to prevent continued expansion of the coarctation and aortic rupture. Acute and subacute stanford A aortic coarctation should be treated aggressively with surgery. In acute StanfordB aortic coarctation, the incidence of paraplegia and mortality are higher with surgical treatment. Surgical treatment is approximately the same as medical drug treatment and should be treated first with medical treatment. Interventional treatment and hybridization should be used when hypertension is difficult to control under medical treatment, pain cannot be relieved, and signs of entrapment aneurysm and aortic dissection appear.