患者男,77岁。2015年9月11日因发作性头昏20余年,加重半月余之主诉收入院。胸超声心动图检查:右冠状动脉近端内径增宽,约7.1mm,管壁回声增强,管腔内可见线状强回声(图1),考虑右冠脉夹层。主动脉短轴切面显示在主动脉根部与肺动脉前方,可见两个较大囊性包块,右侧约55 mm×62mm,左侧约40mm×53mm,内可见21mm×23mm稍强回声,考虑血栓形成(图2)。侧动探头可 Male patient, 77 years old. September 11, 2015 because of episodes of dizziness more than 20 years, more than half of the increase in the main complaint hospital. Thoracic echocardiography: proximal right coronary artery diameter widened, about 7.1mm, enhanced echogenic wall, lumen visible linear hyperechoic (Figure 1), consider the right coronary artery dissection. Aortic short axis view showed in front of the aortic root and pulmonary artery, showing two large cystic mass, the right about 55 mm × 62mm, left about 40mm × 53mm, 21mm × 23mm visible within the slightly strong echo, consider the thrombus Formed (Figure 2). Side of the probe can be