Heart ripped out

Heart ripped out refers to the act of literally ripping someone's heart out. I don't mean it in a metaphorical, hippie-dippie, "You broke my heart, Fredo" sort of a way. I mean someone actually punches their hand into someone's chest, and rips out their actual friggin' heart. Sometimes the thing is still beating in their blood-soaked hands when the action takes place. Needless to say, this sort of gross form of misconduct is usually exclusive to the horror genre, though some action and sci-fi movies have employed the technique as well.