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