It certainly is possible to get all three, but the last deer I shot through the center of the heart from a tree stand was standing slightly quartered away. The arrow entered her chest behind the left shoulder, went through her left lung, center punched her heart, went low and in front of the right lung, exited her chest, and hit her right front leg. As she ran off at breakneck speed, she broke the arrow in half with one half going out her right side and the other half coming back out of her left side. With that classic quartering away shot, I don't think there is any way an arrow could take out the heart and both lungs unless you just clipped the edge of the heart. The downward angle of a shot from a treestand makes a three organ penetration even more improbable.
Allan