Sewing needle penetration into the heart in an infant

Sewing needle penetration into the heart is a rare occurrence. Clinical presentation and timing substantially affect the decision of surgeon and management approach. In this article, we report an 18-month case with a sewing needle penetration into the heart which was mistaken as foreign body aspiration showing migration. It should be kept in mind that sharp foreign objects can reach into the thoracic cavity through not only alimentary tract and airways, but also through externally penetrating trauma.