Method From 1995-2014, 20 patients were operated for bronchial rupture due to blunt chest trauma. Of these, 7 had complex bronchial injuries (3 located in the right bronchial tree, 3 in the left bronchial tree and 1 had a rupture of both, right and left main bronchi). Injuries to the trachea and simple single bronchial ruptures (within 2.5-3 cm from the carina on the left, and within 1 cm on the right side) were excluded from the study, as well as isolated lobar and segmental injuries. Fiberoptic bronchoscopy was diagnostic in all patients. All 7 patients had primary bronchial repair preserving most of the lung tissue, without need to use a cardiopulmonary bypass.