The concentrations of seven toxic metals (cadmium (Cd), nickel (Ni), chromium (Cr), arsenic (As), lead (Pb), copper (Cu), and zinc (Zn)) were determined in sediments and the soft tissues of a bivalve species (Meretrix lyrata) collected from the Tien Estuary in Tien Giang Province, South Vietnam. The total metal concentrations in sediments (mg/kg dry weight) increased as Cd (0.06) < Cu (5.0) < Pb (13.9) < As (16.3) < Ni (24) < Cr (50) < Zn (62). Speciation analysis revealed that these metals existed mainly in the residual fraction (43-94%), followed by the Fe-Mn oxide-bound (5-35%) and organic/sulfide-bound (0.6-9.2%) fractions. The metal concentrations in M. lyrata (mg/kg dry weight) were in the ranges of 1.3-1.9 (Cd), 1.5-2.8 (Ni), 1.8-3.4 (Cr), 11-16 (As), 0.3-0.6 (Pb), 6.9-8.7 (Cu), and 95-128 (Zn), which are safe for human consumption. The order of the mean biota-sediment accumulation factor (BSAF) of the metals in the non-residual fractions of the sediment for M. lyrata was Cd > Cu > As > Zn > Cr > Ni > Pb. The Risk Assessment Codes (RACs) suggest that the highest mobility of Cd (with RAC = 37%) poses greater environmental risk to aquatic biota. Correlation analysis results show that M. lyrata can be used as a biomonitor of Cd and Cu pollution in the exchangeable, acid-soluble, and non-residual sediment fractions.