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an act where a penis is used to rub against a heart, effectively stroking it. May be a fetish.
"Oh man i can't wait to heartstroke again i love her so much!"
"dude... she's dead..."
"..huh?"
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The act of having sexual intercourse which involves a penis penetrating the back hole of a heart.
"Dude i just had the most amazing heartanal session ever last night, the excess poop made it nice and slippery!"
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The backhole of a heart is a large, valveless vein (aka the superior vena cava or SVC) that conveys deoxygenated blood from the upper half of the body and returns it to the right atrium. The SVC may experience a breakphase where the heart quiets down in order to expell any excess waste. This waste makes the back hole very slippery, thus making it perfect for heartanal.
"I feel like the back hole of my heart was about to burst last night... he was just so big..."
"..um, what is the back hole of a heart?"
"oh you poor thing.. you've been missing out! I can ask my friend, he'll show you. ehehe."
"uhh alright i guess?"