Amyloidosis is a systemic disease affecting many organs, characterized by the deposition and accumulation of hyaline, eosiniphilic and proteinaceous material in various tissues. This report presents a patient with anurea caused by primary amyloidosis of the lower third of the ureters, the ureterovesical junction and the urinary bladder.

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Stent platforms are prone to fracture while incidental data are demonstrating a potential unfavorable outcome. Predisposing factors usually involve long lesions and tortuous vessels requiring more than one stent. This issue is magnified when it involves a periprocedural iatrogenic left internal mammary artery (LIMA) and subclavian artery dissection. In such complex clinical scenarios, the risk of potential complications including stent fractures is thought to be higher, though there is no data to determine the prognosis or to outline the outcomes of any management option. We present a case of complete stent fracture 1 year after LIMA percutaneous coronary intervention due to LIMA and subclavian artery dissection highlighting the circumstantial evidence in the literature that guided our management decisions.