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This is specially real concerning the two teams in accordance with which classification-pulmonary arterial hypertension (which group 1) and chronic thromboembolic pulmonary hypertension (whom team 3). As physicians we have been often faced with the problem of making the best analysis and echocardiography plays a pivotal role in this crossroad. You want to provide two cases of pulmonary hypertension with various etiologies as stated above and review literary works to elucidate the role of echocardiogra