EXHIBIT 32.1

            SECTION 1350 CERTIFICATION OF THE CHIEF EXECUTIVE OFFICER



In connection with the Annual Report on Form 10-K for the fiscal year ended
August 31, 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 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: November 13, 2006                     /s/ Carl G. Anderson, Jr.
                                            -------------------------
                                            Carl G. Anderson, Jr.
                                            Chairman and
                                            Chief Executive Officer
                                            (Principal Executive Officer)