We report the case of a 29-year-old woman with combined bronchial rupture and aortic valve tear after blunt chest trauma. She was successfully treated with primary repair of both lesions. The importance of chest computed tomography and transthoracic echocardiography in the diagnosis of these lesions is discussed. (Ann Thorac Surg 2010;89:951-2) (C) 2010 by The Society of Thoracic Surgeons