Valvular Bronchoblocation, Bleeding from pulmonary tuberculosis cavities

57-year-old male patient. On 2013 he was treated for pulmonary tuberculosis. A few months ago he developed bloody coughing, periodically with bleeding episodes. The patient is constantly on hemostatic drugs, which are developed intolerance and coagulopathy. Now he is on the anti TB chemotherapy again. Was consulted by thoracic surgeons. Surgery was not considered appropriate because of high risk of complications and lethal outcome. It was decided to make bronchoblocation as the only option. Under general anesthesia in the left upper bronchus has been inserted MEDLUNG bronchial valve N12. 2 days after procedure CXR showed significantly decreased volume of cavities in the left upper lobe, which indicates collapsotherapy feature of valve.