We review the literature on heart wounds. Along the history surgeons regarded heart wounds as forbidden place for therapeutic approach. We present a patient who sustained a bullet wound to the heart and two years later 3 knife' stabs in the same place injuring its 4 valves and inducing 2 fistulae: one from the aorta to the pulmonary artery, the other from left-ventricle and the pulmonary artery. Surgery was successful in repairing the damage without the need of valve replacement.