{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,24]],"date-time":"2025-10-24T07:19:41Z","timestamp":1761290381582,"version":"build-2065373602"},"reference-count":3,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2025,10,17]],"date-time":"2025-10-17T00:00:00Z","timestamp":1760659200000},"content-version":"vor","delay-in-days":16,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Echocardiography"],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>This manuscript presents a rare case of a ruptured non\u2010coronary sinus of Valsalva aneurysm into the right atrium, forming a giant migratory sac that caused dynamic tricuspid valve obstruction via a diastolic ball\u2010valve mechanism. Transthoracic echocardiography raised the initial suspicion, cardiac computed tomography excluded dissection and visualized its mobility, and transesophageal echocardiography definitively characterized the rupture site and captured the real\u2010time obstructive pathophysiology. This multimodality imaging approach was pivotal in guiding urgent surgical intervention.<\/jats:p>","DOI":"10.1111\/echo.70323","type":"journal-article","created":{"date-parts":[[2025,10,17]],"date-time":"2025-10-17T15:04:46Z","timestamp":1760713486000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The Ball\u2010Valve Mechanism: Multimodality Imaging of Dynamic Tricuspid Obstruction From a Migratory Ruptured Sinus of Valsalva Aneurysm"],"prefix":"10.1111","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6548-0488","authenticated-orcid":false,"given":"Wei","family":"Yan","sequence":"first","affiliation":[{"name":"Department of Ultrasound Wuhan Asia General Hospital, Affiliated to Wuhan University of Science and Technology  Wuhan China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bo","family":"Sun","sequence":"additional","affiliation":[{"name":"Department of Ultrasound Wuhan Asia General Hospital, Affiliated to Wuhan University of Science and Technology  Wuhan China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wenjun","family":"Deng","sequence":"additional","affiliation":[{"name":"Department of Radiology Wuhan Asia General Hospital, Affiliated to Wuhan University of Science and Technology  Wuhan China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xiaojing","family":"Ma","sequence":"additional","affiliation":[{"name":"Department of Ultrasound Wuhan Asia General Hospital, Affiliated to Wuhan University of Science and Technology  Wuhan China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,10,17]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/clc.22359"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1093\/ehjcr\/ytad454"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.echo.2019.11.008"}],"container-title":["Echocardiography"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/echo.70323","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,24]],"date-time":"2025-10-24T07:14:39Z","timestamp":1761290079000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/echo.70323"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10]]},"references-count":3,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2025,10]]}},"alternative-id":["10.1111\/echo.70323"],"URL":"https:\/\/doi.org\/10.1111\/echo.70323","archive":["Portico"],"relation":{},"ISSN":["0742-2822","1540-8175"],"issn-type":[{"type":"print","value":"0742-2822"},{"type":"electronic","value":"1540-8175"}],"subject":[],"published":{"date-parts":[[2025,10]]},"assertion":[{"value":"2025-09-06","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-10-06","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-10-17","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70323"}}