EXHIBIT 32.1


            SECTION 1350 CERTIFICATION OF THE CHIEF EXECUTIVE OFFICER


        In connection with the Quarterly Report on Form 10-Q for the quarterly
period ended February 28, 2006 of Arrow International, Inc., a Pennsylvania
corporation (the "Company"), as filed with the Securities and Exchange
Commission on the date hereof (the "Report"), I, Carl G. Anderson, Jr., the
Chairman and Chief Executive Officer of the Company, hereby certify pursuant to
18 U.S.C. ss.1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act
of 2002, to my knowledge and based upon a review of the Report, that:

        (1) the Report fully complies with the requirements of Section 13(a) or
15(d) of the Securities Exchange Act of 1934; and

        (2) the information contained in the Report fairly presents, in all
material respects, the financial condition and results of operations of the
Company as of the dates and for periods presented as required by such Report.

        This certification is based upon, among other things, my
responsibilities as Chief Executive Officer of the Company, my own due diligence
and representations made by certain other members of the Company's senior
management.

Date:   April 10, 2006                  /s/ Carl G. Anderson, Jr.
                                        ----------------------------------------
                                        Carl G. Anderson, Jr.
                                        Chairman and Chief Executive Officer
                                        (Principal Executive Officer)