The purpose of this article is to share nursing experience of using the apical approach for transcatheter aortic valve replacement surgery to treat a patient with severe aortic insufficiency. A comprehensive nursing process was established, including early psychological intervention to alleviate negative emotions, preoperative evaluation and preparation by a multidisciplinary team, close monitoring of the patient's condition and team cooperation during surgery, refined postoperative care, and staged cardiac rehabilitation training. The comprehensive nursing plan was conducted to ensure the success of surgery and improve postoperative recovery of the patient. (本文总结心尖途径经导管主动脉瓣置换术治疗1例重度主动脉瓣关闭不全患者的护理经验, 包括早期心理干预, 多学科团队的术前评估与准备, 术中密切病情监测与团队配合, 术后精细化护理, 以及分阶段的心脏康复训练, 以确保患者手术顺利, 并促进术后早期康复。)