The patient 54 old woman. In 1989 she underwent resection of the left lower lobe because of bronchiectasis. Throughout the years she had exacerbations, which were manifested by fever, cough with abundant purulent and hemorragic sputum. Chest CT showed left sided pneumocirrhosis and plural cavities. Bronchoscopy revealed the fistula of the left lower bronchus and purulent-hemorragic endobronchitis of the left upper lobe bronchus. The patient was assessed by thoracic surgeon. It was decided to make bronchoblocation as the best option. Under general anesthesia in the left main bronchus has been inserted MEDLUNG bronchial valve N13. After the procedure the patient notes lack of cough with purulent-hemorragic sputum.