The patient is a 71-year-old male with esophageal cancer and aortic vavle regurgitation. At present, the treatment strategy of such patients is controversial. For the elderly patients with esophageal cancer who do not need neoadjuvant treatment, considering the risk of cardiopulmonary bypass and the potential risk of esophageal cancer metastasis, we have successfully implemented apical catheter aortic valve implantation and minimally invasive three-incision thoracolaparoscopy combined with radical resection of esophageal cancer (McKeown) at the same period.