60 year old male patient. From 2002 he had COPD. Because of frequent exacerbations he was periodically hospitalized. His condition recently worsened. Except dyspnea he developed hemoptysis, periodically turned into bleeding. The patient was consulted by thoracic surgeons. Surgery was not considered appropriate because of high risk of complications. It was decided to make bronchoblocation as the only option. Under general anesthesia in the right upper bronchus has been inserted MEDLUNG bronchial valve N13. 1 months after procedure CXR showed decreased volume of giant bullae from 16 cm to 12 cm in diameter.