The European Respiratory Society's International Congress of 2019, held in Madrid, Spain had exciting sessions regarding the field of pulmonary vascular disease (PVD). The symposia related to the new ERS/ECS diagnosis and management of acute pulmonary embolism (PE) were well received, as were sessions of pulmonary hypertension (PH) related to lung disease, demonstrating the concept of PH not being the rarity that it was previously thought to be. The use of risk stratification in relation to pulmonary atrial hypertension (PAH) was heavily featured and the scientific sessions informing the respiratory community of potential biomarkers and targets for future therapies were thought provoking.In preparation of the upcoming innovative ERS International Virtual Congress in the autumn of 2020 we wanted to prepare a highlights article of the 2019 PVD sessions as a summary of current knowledge and practise.We have therefore, summarised the key points from the sessions pertaining to the new ERS/ESC guidance of the management of acute PE. We have also focused on prognostic factors and potential therapies in PH related to interstitial lung disease. Relating to PAH we have reviewed the symposia on risk stratification, along with the use on non-invasive measures and the sessions relating to biomarkers in PAH.