<p> Coarctation of the aorta is a frequently observed congenital malformation that is normally diagnosed and treated in childhood. It is defined as aortic stenosis at the segment of insertion of ductus arteriosus. The therapeutic options are balloon dilation and/or stenting, or cardiac surgery. Currently existing data on the therapeutic approaches are to some extend still controversial. The results from short-term experience of aortic interventions look promising, especially in the case of elderly patients with high perioperative risk and those with unsuitable anatomy for intervention. It should also be noted that operation after stenting is a more difficult and risky approach. In the paper we discuss treatment guidelines, advantages and disadvantages of each therapeutic option.</p>