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Case 1: Chronic thromboembolic pulmonary hypertension (CTEPH)A 32 year-old man was referred to the pulmonary hypertension unit with increasing dyspnoea and multiple recent syncopal episodes. He had suffered a pulmonary embolism at the age of 17 and had received an appropriate course of warfarin therapy. Afterwards, he had remained well and in full-time employment until a recent presentation to his local hospital with increasing dyspnoea and syncope occurring episodically over a period of a few months. A computed tomographic pulmonary angiogram (CTPA) performed there was reported as showing evidence of pulmonary embolus.