Disclosed are a method, an apparatus, a device and a storage medium for extracting a cardiovisceral vessel from a CTA image, including: performing corrosion operation and expansion operation on an image data successively via a preset structural element to obtain a structure template, wherein the image data is a coronary angiography image after a downsampling processing, and the structure template is a structure excluding a pulmonary region; performing a transformation in layer-by-layer on slice images of the structure template to acquire a first ascending aorta structure in the structure template, and acquiring an aorta center coordinate and an aorta radius in the last layer of slice image of the structure template; and establishing a binarized spherical structure according to the aorta center coordinate and the aorta radius, and synthesizing a second ascending aorta structure by combining the first ascending aorta structure with the structure template and the binarized spherical structure.