The main purpose of minimal invasive approach is to treat coarctation of the aorta in order to prevent or at least to reduce the incidence of hypertension and therefore to alleviate a chronic cardiac pressure overload. Indirectly, this correction will impact on the quality of life and life expectancy. The reduce invasiveness of our approach should achieve these goals while providing a benefit on the shoulder and spine stature and mobility. We aimed to compare the mid-term results of this approach with other standard techniques to make sure that the circulatory load was favourably controlled.