4 weeks prior	Hypertensive urgency at referral centre. Exclusion of acute coronary syndrome. Detection of a mass at postero-lateral mitral annulus.
Initial presentation	Referral for lesion evaluation with transthoracic echocardiogram, transoesophageal echocardiogram, and cardiac magnetic resonance. Diagnosis of cMAC established. Decision for conservative treatment by heart team (aspirin 100 mg, atorvastatin 40 mg).
6 months	Acute retinal artery occlusion with a small cholesterol. Enlarging mass with near-total liquefaction of cMAC. Continuation of conservative approach (switch to clopidogrel 75 mg, atorvastatin 40 mg).
12 months	Disappearance of centrally liquid-filled cavity.
>36 months	No further events occurred.