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In childhood, pulmonary thromboembolism (PTE) is an uncommon but potentially life-threatening disease. The greater numbers of venous thromboembolism (VTE) are complications of underlying risk factors such as malignancies, chemotherapy (L-asparaginase), and central venous catheter. We report a patient with acute lymphoblastic leukemia and PTE, who presented with near-syncope, and was successfully treated with low molecular weight heparin and calcium channel blockers.doi:10.5546/aap.2016.eng.e17 pmid:26914084 fatcat:jn74ic5ys5bmficl2xqs444iyu