Dabigatran and Edoxaban in the Repair of an Abnormal Cleft in the Right Wall of the Ascending Aorta: A Case Report.

The appearance of a cleft may be the clear start of an aortic aneurysm and aortic dissection (AA/AD). If such small clefts can be identified and cured at an early stage, a new treatment could be developed for AA/AD prevention. In this case report, linear white (high echo intensity) thrombi extending from the right upper pulmonary vein (RUPV) penetrated the wall of the ascending aorta (AAo), resulting in a cleft in the AAo wall in an area with possible medial degeneration. Additionally, we show that dabigatran and edoxaban partially resolved the linear thrombi and cured the cleft.