64-year-old Woman with diagnosed colon carcinoma antecedent 8 years ago.  

Enters for shortness of breath with a oxygen saturation of 50-60%. 

In the exploration she presents intense disnea , does not tolerate position, restless, sweaty, and cyanosis acrid.  In the broncoscopia carried out polipoidea  mass of bleeding surface was observed which ocluded the 100% of the light of the right main bronchial tube, infiltrates the 2/3 previous of the main carina  and shows endobronquiales marks  in the third proximal of the left main bronchial tube.  The ultrasound puts in evidence compatible focal wounds with metastasis. 

X-ray of thorax shows bihiliar ensanchamiento , with left source bronchial tube slimming and abrupt amputation of the bronchial tube right source, atelectasia of the right lower lobe, and ipsilateral displacement of the mediastino (FIG 1).

Due to severe commitment of the patient and before the impossibility of another procedure, it is decided the implementation of stents in both bronchial source tubes .

After the procedure improvement in the disnea is observed and the saturation of  oxygenenlarges, achieving thus the palliation of the symptoms in this terminal patient .