Crossbow injuries to the thorax are nowadays uncommon. The type of arr
owhead used determines not only the form of entrance wound but often t
he outcome of these injuries. We report the case of a 38-year-old man
who attempted to commit suicide by firing a bolt from a sport crossbow
into his heart. Although the bolt penetrated the mediastinum causing
a deep intraseptal myocardial lesion and the pre-operative diagnostic
procedure delayed the necessary operation, the patient survived.